Individual
AMANDA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 AVENUE B SE, WINTER HAVEN, FL 33880-3037
(863) 294-1429
Mailing address
150 AVENUE B SE, WINTER HAVEN, FL 33880-3037
(863) 294-1429
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ6087
FL
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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