Individual
AMANDA TRUETKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 BLUE PRIDE DR, HERMANN, MO 65041-1593
(573) 486-2118
Mailing address
164 BLUE PRIDE DR, HERMANN, MO 65041-1593
(573) 486-2118
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013027273
MO
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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