Individual
AMANDA WATERS HOLLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, CCC-SLP
Contact information
Practice address
185 MAIN ST, MIDWAY, GA 31320-7211
(912) 223-3693
Mailing address
185 MAIN ST, MIDWAY, GA 31320-7211
(912) 223-3693
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006812
GA
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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