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Individual

AMANDA TOWNSEND

Active
Sole proprietor
No

Provider details

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

Contact information

Practice address
2120 37TH ST, KENOSHA, WI 53140-2350
(262) 945-3515
Mailing address
2120 37TH ST, KENOSHA, WI 53140-2350
(262) 945-3515

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3681-154
WI

Other

Enumeration date
02/22/2017
Last updated
02/22/2017
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