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1558615583
SAMANTHA MICHELLE RUSSELL
SAN ANTONIO, TX
NPI
1558615583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 107527)
Enumeration Date
2012-10-29
Last Update Date
2023-02-06
Business Address
SAMANTHA MICHELLE RUSSELL SLP
245 LISMORE
SAN ANTONIO, TX 78260-4313
Phone number: 956-236-8535
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Mailing Address
SAMANTHA MICHELLE RUSSELL SLP
4609 SAN DARIO AVE STE 9
LAREDO, TX 78041-5773
Phone number: 956-723-6600
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