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1962913871
SAMANTHA CLARK
NORTH CHESTERFIELD, VA
NPI
1962913871
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Former Name
SAMANTHA MOORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202006809)
Enumeration Date
2017-10-18
Last Update Date
2017-10-18
Business Address
Mrs. SAMANTHA CLARK SLP
9325 MIDLOTHIAN TPKE STE A
NORTH CHESTERFIELD, VA 23235-4943
Phone number: 757-490-3223
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Mailing Address
Mrs. SAMANTHA CLARK SLP
9325 MIDLOTHIAN TPKE STE A
NORTH CHESTERFIELD, VA 23235-4943
Phone number: 757-490-3223
Copy
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