Individual
AMANDA MARIE SIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3625 MAGNOLIA AVE, SAINT LOUIS, MO 63110-4048
(314) 771-2990
Mailing address
1239 BLUE SPRUCE LN, COLUMBIA, IL 62236-4171
(314) 402-8410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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