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Individual

MISS AMANDA SUZANNE MCKINNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC/SLP

Contact information

Practice address
11902 OAK BAY PL, LOUISVILLE, KY 40245-6476
(502) 550-2525
(187) 721-2252
Mailing address
474 MULBERRY ST APT C, LEITCHFIELD, KY 42754-2253
(270) 589-9058

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3726
KY

Other

Enumeration date
01/21/2016
Last updated
01/21/2016
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