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1205348067
SAMANTHA MARIE GRIMES
LADSON, SC
NPI
1205348067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 027223)
Enumeration Date
2017-11-01
Last Update Date
2018-11-14
Business Address
SAMANTHA MARIE GRIMES M.A. CCC-SLP
9565 HIGHWAY 78 BLDG 102
LADSON, SC 29456
Phone number: 888-510-6369
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Mailing Address
SAMANTHA MARIE GRIMES M.A. CCC-SLP
9565 HIGHWAY 78 STE 102
LADSON, SC 29456-4118
Phone number:
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