Individual
AMANDA GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP, CLC
Contact information
Practice address
600 S TYLER ST STE 805, AMARILLO, TX 79101-2353
(806) 553-7771
Mailing address
5721 74TH ST, LUBBOCK, TX 79424-2417
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103640
TX
Other
Enumeration date
12/19/2011
Last updated
03/17/2018
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