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1376174193
SAMANTHA NICHOLS JORDAN
DUNWOODY, GA
NPI
1376174193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP009525)
Enumeration Date
2020-01-30
Last Update Date
2020-01-30
Business Address
Mrs. SAMANTHA NICHOLS JORDAN MS, CCC-SLP
1370 CENTER DR STE 205
DUNWOODY, GA 30338-4132
Phone number: 678-360-1742
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Mailing Address
Mrs. SAMANTHA NICHOLS JORDAN MS, CCC-SLP
490 CREEKWOOD DR
MARIETTA, GA 30068-3202
Phone number: 678-360-1742
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