Individual
AMANDA GRACE JULIE WOODLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
395 S PRATT PKWY, LONGMONT, CO 80501-6436
(303) 776-6200
Mailing address
395 S PRATT PKWY, LONGMONT, CO 80501-6436
(303) 776-6200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14418276
CO
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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