Individual
AMANDA LEIGH WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4229 PERIWINKLE DR, FORT WORTH, TX 76137-3013
(469) 834-5742
Mailing address
4229 PERIWINKLE DR, FORT WORTH, TX 76137-3013
(469) 834-5742
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
33891
TX
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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