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Individual

AMANDA JESSICA LEWTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20363 LANE OF CHAMPIONS, WARSAW, MO 65355-6463
(660) 438-7120
Mailing address
20363 LANE OF CHAMPIONS, WARSAW, MO 65355-6463

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013015599
MO

Other

Enumeration date
01/12/2021
Last updated
01/12/2021
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