Individual
MRS. AMANDA DEEANNE HARDAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2105 N BURDICK ST, STILLWATER, OK 74075-2913
(405) 612-4712
Mailing address
2105 N BURDICK ST, STILLWATER, OK 74075-2913
(405) 612-4712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3426
OK
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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