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1578039004
SAMANTHA RENAE JOHNSON
ROYAL OAK, MI
NPI
1578039004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: 7101005913)
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
SAMANTHA RENAE JOHNSON
4949 COOLIDGE HWY
ROYAL OAK, MI 48073-1026
Phone number: 248-655-5880
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Mailing Address
SAMANTHA RENAE JOHNSON
4949 COOLIDGE HWY
ROYAL OAK, MI 48073-1026
Phone number:
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