Mary Samples
NPI #1902910300 in Portageville, Missouri
Provider Information
- NPI Number
- 1902910300
- Entity Type
- Individual
- Name
- Mary Samples
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Aug 19, 2006
- Last Updated
- Oct 29, 2009
Practice Location
- Address
- 904 KING AVE
- City
- Portageville
- State
- Missouri
- ZIP Code
- 63873-1378
- Phone
- (573) 379-5706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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