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1487254108
SAMANTHA LEE ROBERTS
APPLETON, WI
NPI
1487254108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: WI 5076-154)
Enumeration Date
2020-10-30
Last Update Date
2020-10-30
Business Address
SAMANTHA LEE ROBERTS M.S. CCC-SLP
3311 E PARKSIDE BLVD APT 125
APPLETON, WI 54915-5631
Phone number: 920-424-0190
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Mailing Address
SAMANTHA LEE ROBERTS M.S. CCC-SLP
3311 E PARKSIDE BLVD APT 125
APPLETON, WI 54915-5631
Phone number: 920-252-6426
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