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Individual

AMANDA BODDEKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20550 FAIRFIELD GREEN BLVD, CYPRESS, TX 77433-6122
(281) 213-1763
Mailing address
20550 FAIRFIELD GREEN BLVD, CYPRESS, TX 77433-6122
(251) 533-0785

Taxonomy

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

Other

Enumeration date
09/15/2022
Last updated
09/15/2022
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