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Samantha Rose Fannin
Speech-Language Assistant in Glendale, Arizona
NPI 1124789052

Samantha Rose Fannin is a Speech-Language Assistant based in Glendale, AZ and is specialized in Speech-Language Assistant. Samantha Rose Fannin practices in Glendale, AZ. The NPI Number for Samantha Rose Fannin is 1124789052 and holds a License No. SLPA13538 (Arizona).

The current practice location address for Samantha Rose Fannin is 4327 W Michigan Ave, Glendale, AZ and can be reached out via phone at 623-986-9533.

Location: 4327 W Michigan Ave, Glendale, AZ, 85308-1640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124789052
Provider Name
Samantha Rose Fannin
Credential
Provider Entity Type
Individual
Gender
Female
Address
4327 W Michigan Ave, Glendale, AZ, 85308-1640
Phone Number
623-986-9533
Fax Number
Provider Enumeration Date
01/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4327 W Michigan Ave
City
Glendale
State
Arizona
Zip
85308-1640
Phone Number
623-986-9533
Fax Number
person
Provider Business Mailing Address Details
Address
4327 W Michigan Ave
City
Glendale
State
Arizona
Zip
85308-1640
Phone Number
623-986-9533
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
SLPA13538 (Arizona)
Definition
Definition to come...
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