Individual
AMANDA C HARDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
202 N NEW ST, WHITAKERS, NC 27891-2502
(252) 367-5290
Mailing address
202 N NEW ST, WHITAKERS, NC 27891-2502
(252) 367-5290
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12188
NC
Other
Enumeration date
02/11/2016
Last updated
03/14/2023
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