Individual
AMANDA KAY GOATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98 S 30TH ST, NEWARK, OH 43055-1940
(740) 344-0303
Mailing address
2494 PRENDERGAST PL, REYNOLDSBURG, OH 43068-5203
(801) 884-6821
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PS 9054
OH
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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