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Individual

MISS AMANDA HOEFFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3985 STEVE REYNOLDS BLVD BLDG G, NORCROSS, GA 30093-3001
(770) 622-2532
Mailing address
3985 STEVE REYNOLDS BLVD BLDG G, NORCROSS, GA 30093-3001
(770) 622-2532

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009673
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NONE
GA
Enumeration date
07/18/2017
Last updated
07/18/2017
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