Individual
AMANDA DORE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1301 KIOWA ST, ARDMORE, OK 73401-2280
(580) 670-3117
Mailing address
41247 HIGHWAY 29, WYNNEWOOD, OK 73098-9116
(580) 670-3117
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5833
OK
235Z00000X
Speech-Language Pathologist
CF374
OK
Other
Enumeration date
09/03/2021
Last updated
08/25/2022
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