SAMANTHA DIANE BLAKE

SUFFOLK, VA
NPI1356953988
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: VA  2202005795)
Enumeration Date2020-08-17
Last Update Date2020-08-17
Business Address
Mrs. SAMANTHA DIANE BLAKE CCC-SLP
100 N MAIN ST
SUFFOLK, VA 23434-4529
Phone number: 757-925-6764
Mailing Address
Mrs. SAMANTHA DIANE BLAKE CCC-SLP
100 N MAIN ST
SUFFOLK, VA 23434-4529
Phone number: 757-925-6764
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