SAMANTHA JO DESTAZIO

SPARTANBURG, SC
NPI1326501818
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: SC  6550)
Enumeration Date2019-04-11
Last Update Date2019-04-11
Business Address
SAMANTHA JO DESTAZIO
290 N GROVE MEDICAL PARK DR
SPARTANBURG, SC 29303-4222
Phone number: 864-345-1700
Mailing Address
SAMANTHA JO DESTAZIO
290 N GROVE MEDICAL PARK DR
SPARTANBURG, SC 29303-4222
Phone number:
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