Organization
SPEECH THERAPY ON THE GO LLC
Active
Other names
Amanda Foutch
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA RAE FOUTCH CCC-SLP (OWNER)
(954) 540-4808
Entity
Organization
Contact information
Practice address
4482 FORD AVE, LINDEN, MI 48451-9189
(954) 540-4808
(888) 232-1831
Mailing address
4482 FORD AVE, LINDEN, MI 48451-9189
(954) 540-4808
(888) 232-1831
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005581
MI
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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