Individual
MRS. AMANDA PATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N BROADWAY ST, COAL CITY, IL 60416-1043
(815) 634-2334
(815) 954-6904
Mailing address
990 N 7TH ST, CARBON HILL, IL 60416-7008
(815) 954-6904
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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