Individual
AMANDA SUDORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(131) 534-2957
Mailing address
2060 STONEHEDGE DR, ONTARIO, NY 14519-9715
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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