SAMANTHA LYNN VAILLANCOURT

GAINESVILLE, FL
NPI1871006874
Former NameSAMANTHA LYNN GREEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA11737)
Enumeration Date2017-11-13
Last Update Date2017-11-13
Business Address
Mrs. SAMANTHA LYNN VAILLANCOURT M.Ed. CCC-SLP
4907 NW 43RD ST STE C
GAINESVILLE, FL 32606-2007
Phone number: 352-372-0047
Mailing Address
Mrs. SAMANTHA LYNN VAILLANCOURT M.Ed. CCC-SLP
5400 NW 39TH AVE APT M104
GAINESVILLE, FL 32606-6951
Phone number: 810-886-2243
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