Individual
AMANDA VOGELSONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12700 BARTRAM PARK BLVD, UNIT 1230, JACKSONVILLE, FL 32258-5406
(904) 521-0568
Mailing address
12700 BARTRAM PARK BLVD, UNIT 1230, JACKSONVILLE, FL 32258-5406
(904) 521-0568
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 15291
FL
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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