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Individual

AMANDA MARBURGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19241 DAVID MEMORIAL DR STE 170A, SHENANDOAH, TX 77385-8786
(936) 321-8300
Mailing address
19241 DAVID MEMORIAL DR # 140A, SHENANDOAH, TX 77385-8786

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115964
TX
Enumeration date
03/31/2021
Last updated
10/12/2021
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