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Individual

AMANDA MACIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
93 WATER VILLAGE RD, OSSIPEE, NH 03864-7268
(603) 539-7511
Mailing address
PO BOX 813, WEST OSSIPEE, NH 03890-0813

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1753
NH

Other

Enumeration date
08/08/2017
Last updated
08/08/2017
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