SAMANTHA B FAIRCLOTH

PERRY, GA
NPI1528380219
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  PCET001520)
Enumeration Date2010-02-22
Last Update Date2010-02-22
Business Address
-- SAMANTHA B FAIRCLOTH
902 NORTHSIDE DR
PERRY, GA 31069-3344
Phone number: 478-987-1610
Mailing Address
-- SAMANTHA B FAIRCLOTH
902 NORTHSIDE DR
PERRY, GA 31069-3344
Phone number: 478-987-1610
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