Individual
AMANDA GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
114 RANDOLPH CT, STILLWATER, OK 74075-3841
(405) 612-2329
Mailing address
114 RANDOLPH CT, STILLWATER, OK 74075-3841
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP10663
AZ
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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