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Individual

AMANDA JANE NEDVED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
501 7TH ST, ROCKFORD, IL 61104-1242
(815) 979-8488
Mailing address
1023 LUNDVALL AVE, ROCKFORD, IL 61107-3337
(815) 979-8488

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146008849
IL

Other

Enumeration date
05/04/2020
Last updated
05/04/2020
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