Individual
AMANDA GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 E AUGUSTIN DR, LORETTO, TN 38469-2365
(931) 762-2288
Mailing address
116 E AUGUSTIN DR, LORETTO, TN 38469-2365
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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