Individual
AMANDA LEIGH COUNCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 PHILLIPS RD, TALLAHASSEE, FL 32308-5304
(850) 942-9868
Mailing address
160 NEW LIGHT CHURCH RD, CRAWFORDVILLE, FL 32327-4902
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ8071
FL
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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