Individual
AMANDA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 MAIN ST, CLAYTON, DE 19938-7716
(302) 653-2803
Mailing address
304 CREST AVE, HADDON HEIGHTS, NJ 08035-1421
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
O4-0010717
DE
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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