Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 N COMMERCE AVE, FRONT ROYAL, VA 22630-4419
(540) 635-2171
Mailing address
155 OXBOW DR, STRASBURG, VA 22657-5279
(631) 891-9652
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007612
VA
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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