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1164911020
SAMANTHA LYNN PANKAU THOMAS
MANASSAS, VA
NPI
1164911020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202006733)
Enumeration Date
2018-05-07
Last Update Date
2018-05-07
Business Address
Mrs. SAMANTHA LYNN PANKAU THOMAS MS, CCC-SLP
15300 BOWMANS FOLLY DR
MANASSAS, VA 20112-5450
Phone number: 703-583-8774
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Mailing Address
Mrs. SAMANTHA LYNN PANKAU THOMAS MS, CCC-SLP
15694 BEACON CT
DUMFRIES, VA 22025-1830
Phone number: 847-894-1837
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