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1710580303
JENNIFER SAMUEL
DOUGLASVILLE, GA
NPI
1710580303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2020-11-17
Last Update Date
2020-11-17
Business Address
JENNIFER SAMUEL
4300 CHAPEL HILL RD STE 1000
DOUGLASVILLE, GA 30135-4227
Phone number: 800-381-2195
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Mailing Address
JENNIFER SAMUEL
3075 LANDINGTON DR
AUSTELL, GA 30106-3535
Phone number: 860-416-6108
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