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Individual

AMANDA JANET THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
69 LINDSEY LN STE A, SAINT MARYS, GA 31558-1702
(912) 729-2294
Mailing address
69 LINDSEY LN STE A, SAINT MARYS, GA 31558-1702
(912) 729-2294

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011259
GA

Other

Enumeration date
10/12/2020
Last updated
10/12/2020
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