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1619221058
SAMANTHA MATHIS JEFFERSON
AUSTIN, TX
NPI
1619221058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 106802)
Enumeration Date
2012-11-07
Last Update Date
2020-12-30
Business Address
SAMANTHA MATHIS JEFFERSON
8404 STILLWOOD LN
AUSTIN, TX 78757-6939
Phone number: 337-532-4600
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Mailing Address
SAMANTHA MATHIS JEFFERSON
3429 WESTMINISTER AVE
MONROE, LA 71201-2913
Phone number: 337-532-4600
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