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1497486583
SAMANTHA ELIZABETH MIXON
BATON ROUGE, LA
NPI
1497486583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 9104)
Enumeration Date
2022-06-21
Last Update Date
2022-06-22
Business Address
SAMANTHA ELIZABETH MIXON SLP
1805 COLLEGE DR
BATON ROUGE, LA 70808-1919
Phone number: 225-923-3420
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Mailing Address
SAMANTHA ELIZABETH MIXON SLP
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 225-923-3420
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