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Individual

AMANDA WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC SLP

Contact information

Practice address
60 2ND ST STE 307, SHALIMAR, FL 32579-1764
(850) 862-7227
(850) 862-2421
Mailing address
60 2ND ST STE 307, SHALIMAR, FL 32579-1764
(850) 862-7227
(850) 862-2421

Taxonomy

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

Other

Enumeration date
10/25/2012
Last updated
06/25/2013
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