Individual
AMANDA MARIE SMOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6207 VENICE ST, BAYTOWN, TX 77523-7486
(713) 410-4655
Mailing address
6207 VENICE ST, BAYTOWN, TX 77523-7486
(713) 410-4655
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14413888
TX
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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