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Individual

ANDREA VIOLET WHITAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
435 E 5TH ST, LOVELL, WY 82431-1947
(307) 548-6722
(307) 548-6700
Mailing address
842 LANE 13, LOVELL, WY 82431-9523
(307) 548-6722
(307) 548-6700

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP/CFY-622
WY

Other

Enumeration date
11/26/2012
Last updated
11/26/2012
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