Individual
MRS. AMANDA K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E FOREST ST, BOLIVAR, MO 65613-1214
(417) 328-5615
(417) 328-5614
Mailing address
3286 S 225TH RD, GOODSON, MO 65663-7118
(417) 224-1473
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2021039379
MO
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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