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Individual

AMANDA LYNN BRUNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
3850 TAMPA RD, PALM HARBOR, FL 34684-3670
(727) 786-5482
Mailing address
1175 E KENNEDY BLVD, UNIT #N447, TAMPA, FL 33602-3545
(813) 625-5774

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11471
FL

Other

Enumeration date
06/08/2011
Last updated
08/13/2012
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