Samantha R Formento

NPI #1053834176 in New Lenox, Illinois

Provider Information

NPI Number
1053834176
Entity Type
Individual
Name
Samantha R Formento
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jul 20, 2017
Last Updated
Sep 9, 2023

Practice Location

Address
1621 ANDREA DR
ZIP Code
60451-2303
Phone
(779) 435-0724

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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