Individual
AMANDA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8505 W CENTER ST APT 3, MILWAUKEE, WI 53222-4757
(715) 305-8001
Mailing address
8505 W CENTER ST APT 3, MILWAUKEE, WI 53222-4757
(715) 305-8001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4090-154
WI
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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