Individual
AMANDA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 W MILTON AVE, MILTON, LA 70558
(337) 521-7740
Mailing address
222 W. MILTON AVENUE, MILTON, LA 70558
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8424
LA
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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