Individual
AMANDA WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 CENTRAL AVE, REISTERSTOWN, MD 21136-1854
(410) 517-5400
Mailing address
407 CENTRAL AVE, REISTERSTOWN, MD 21136-1854
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
06711
MD
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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