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Individual

AMANDA MARIE BROTHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
2411 E MAIN ST, DANVILLE, IN 46122-8466
(317) 718-0089
Mailing address
2411 E MAIN ST, DANVILLE, IN 46122-8466
(317) 718-0089

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005751A
IN

Other

Enumeration date
08/08/2012
Last updated
07/11/2019
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