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SAMANTHA MARIE BLACKLER M.S.

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1912200437

Individual Registrant:
 SAMANTHA MARIE BLACKLER M.S.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
740 S PLACENTIA AVE SUITE 100 PLACENTIA, CA 92870-6832 US
Tel: 714-646-8318  Fax: --

Contact information for business:
740 S PLACENTIA AVE SUITE 100 PLACENTIA, CA 92870-6832 US
Tel: 714-646-8318  Fax: --

Registration Information:
NPI: 1912200437
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
CA6741

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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