Individual
MS. AMANDA BROSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
124 E LAWRENCE ST, MOUNT VERNON, WA 98273-2914
(360) 428-6122
Mailing address
4654 WADE ST APT 101, BELLINGHAM, WA 98226-2209
(360) 715-3084
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60327212
WA
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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