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Individual

MRS. AMANDA A WILKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., SLP

Contact information

Practice address
420 GENERAL SOMERVELL ST NE, ALBUQUERQUE, NM 87123-1150
(505) 299-4424
Mailing address
4777 TRAMWAY BLVD NE, #610, ALBUQUERQUE, NM 87111-2986
(270) 293-5883

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-4161
NM

Other

Enumeration date
09/12/2007
Last updated
09/12/2007
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