Individual
MISS AMANDA J NEWKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC/SLP
Contact information
Practice address
634 N MAIN ST, SUITE 3, O FALLON, IL 62269-3733
(618) 632-4222
Mailing address
634 N MAIN ST, SUITE 3, O FALLON, IL 62269-3733
(618) 632-4222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
04/03/2008
Last updated
04/03/2008
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