Individual
AMANDA WINGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 W 13TH ST N, WICHITA, KS 67212-5575
(316) 202-3676
Mailing address
479 GRIFFIN RD, VANDERBILT, PA 15486-1237
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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