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Samantha Grace Defraites
Speech-Language Assistant in Valencia, California
NPI 1306565122

Samantha Grace Defraites is a Speech-Language Assistant based in Valencia, CA and is specialized in Speech-Language Assistant. Samantha Grace Defraites practices in Valencia, CA. The NPI Number for Samantha Grace Defraites is 1306565122 and holds a License No. 7133 (California).

The current practice location address for Samantha Grace Defraites is 28212 Kelly Johnson Pkwy Ste 200, Valencia, CA and can be reached out via phone at 818-501-8352.

Location: 28212 Kelly Johnson Pkwy Ste 200, Valencia, CA, 91355-5084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306565122
Provider Name
Samantha Grace Defraites
Credential
Provider Entity Type
Individual
Gender
Female
Address
28212 Kelly Johnson Pkwy Ste 200, Valencia, CA, 91355-5084
Phone Number
818-501-8352
Fax Number
Provider Enumeration Date
08/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
28212 Kelly Johnson Pkwy Ste 200
City
Valencia
State
California
Zip
91355-5090
Phone Number
818-501-8352
Fax Number
person
Provider Business Mailing Address Details
Address
28212 Kelly Johnson Pkwy Ste 200
City
Valencia
State
California
Zip
91355-5090
Phone Number
818-501-8352
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.
7133 (California)
Definition
Definition to come...
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