Individual
MRS. AMANDA KAY SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1333 E 7TH ST, LOCKPORT, IL 60441-3823
(708) 647-7300
Mailing address
25560 BARROW RD, MANHATTAN, IL 60442-6251
(708) 921-9016
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.013937
IL
Other
Enumeration date
01/08/2018
Last updated
01/08/2025
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