Individual
AMANDA MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
200 SOUTHPARK BLVD # 102, ST AUGUSTINE, FL 32086-3129
(904) 417-6236
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 345-7251
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19776
FL
235Z00000X
Speech-Language Pathologist
2019026437
MO
Other
Enumeration date
08/19/2019
Last updated
12/13/2022
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