Individual
AMANDA R MAILLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1640 UNION ST, SAN FRANCISCO, CA 94123-4507
(415) 567-8133
Mailing address
1640 UNION ST, SAN FRANCISCO, CA 94123-4507
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
39924
CA
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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