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1356697379
SAMANTHA REYNOLDS
FREDERICKSBURG, VA
NPI
1356697379
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Former Name
SAMANTHA LYNN DESHAZO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202006627)
Enumeration Date
2012-07-27
Last Update Date
2021-01-26
Business Address
Miss SAMANTHA REYNOLDS M.S.CCC-SLP
810 WESTWOOD OFFICE PARK
FREDERICKSBURG, VA 22401
Phone number: 540-693-6997
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Mailing Address
Miss SAMANTHA REYNOLDS M.S.CCC-SLP
1377 MOTOR PKWY STE 307
ISLANDIA, NY 11749-5258
Phone number: 914-294-4050
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