Individual
MRS. AMANDA CAINES BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
RR 2 BOX 2221, WAYNE, WV 25570-9748
(304) 962-4133
Mailing address
RR 2 BOX 2221, WAYNE, WV 25570-9748
(304) 962-4133
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1147
WV
Other
Enumeration date
03/21/2007
Last updated
09/09/2010
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