Individual
AMANDA MARIE KUGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 VIA CALLEJON, SUITE B, SAN CLEMENTE, CA 92673
(949) 498-5100
Mailing address
19 CALLE PELICANO, SAN CLEMENTE, CA 92673
(949) 887-1510
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 13536
CA
Other
Enumeration date
02/09/2011
Last updated
09/12/2013
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