Individual
MRS. AMANDA MACCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3055 KINGSTON AVE, GROVE CITY, OH 43123-3304
(614) 801-8350
Mailing address
3055 KINGSTON AVE, GROVE CITY, OH 43123-3304
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.8572
OH
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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