Individual
AMANDA MICHELLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3624 SHANNON RD STE 104, DURHAM, NC 27707-3772
(919) 493-7002
Mailing address
3624 SHANNON RD STE 104, DURHAM, NC 27707-3772
(919) 493-7002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30002643
NC
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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