Individual
AMANDA ELISE WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP CCC
Contact information
Practice address
7855 CURRIER DR, PORTAGE, MI 49002-4314
(269) 323-7748
Mailing address
10461 WEST P AVE, KALAMAZOO, MI 49009-8433
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002176
MI
Other
Enumeration date
05/31/2009
Last updated
10/10/2016
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