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Individual

AMANDA BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1610 E. SUNSHINE STREET, SPRINGFIELD, MO 65804
(417) 523-7500
(417) 523-7695
Mailing address
1610 E. SUNSHINE STREET, SPRINGFIELD, MO 65804
(417) 429-5909

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013029169
MO
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
09/19/2013
Last updated
11/03/2016
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