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1154998920
SAMANTHA WILSON
LOUISVILLE, KY
NPI
1154998920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: KY 270825)
Enumeration Date
2021-06-09
Last Update Date
2021-06-09
Business Address
SAMANTHA WILSON
11840 COMMONWEALTH DR
LOUISVILLE, KY 40299-2309
Phone number: 502-633-1007
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Mailing Address
SAMANTHA WILSON
90 HOWARD DR
SHELBYVILLE, KY 40065-8138
Phone number: 502-320-3318
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