Individual
AMANDA NOEL MICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
633 W ADDISON ST, CHICAGO, IL 60613-4981
(312) 458-9865
Mailing address
1903 W ADDISON ST APT 3, CHICAGO, IL 60613-3563
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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