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1730597725
SAMANTHA STEPHENS
IDAHO FALLS, ID
NPI
1730597725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: ID SLP-2257)
Enumeration Date
2014-07-23
Last Update Date
2014-07-23
Business Address
-- SAMANTHA STEPHENS M.S., CCC-SLP
3715 WOODKING DR
IDAHO FALLS, ID 83404-4720
Phone number: 208-529-2255
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Mailing Address
-- SAMANTHA STEPHENS M.S., CCC-SLP
3309 E WOODSIDE DR
IDAHO FALLS, ID 83401-5008
Phone number: 208-221-6282
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