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Individual

MRS. AMANDA GRACE LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18370 LIMESTONE CREEK RD, JUPITER, FL 33458-3860
(561) 598-6200
Mailing address
18370 LIMESTONE CREEK RD, JUPITER, FL 33458-3860

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA15840
FL

Other

Enumeration date
07/07/2023
Last updated
07/11/2023
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