Individual
MRS. AMANITA LUBA BRAZIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
68 W DONEGAL ST, MOUNT JOY, PA 17552-2220
(814) 450-3012
Mailing address
68 W DONEGAL ST, MOUNT JOY, PA 17552-2220
(814) 450-3012
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010044
PA
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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