Individual
AMANDA HOULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 WOODMEADOW DR, SALEM, NH 03079-2336
(347) 768-3971
Mailing address
16 WOODMEADOW DR, SALEM, NH 03079-2336
(347) 768-3971
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
597866121
NY
Other
Enumeration date
04/04/2014
Last updated
04/07/2014
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