Individual
AMANDA MAE TOMPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15344 E WASHAKI RD, CANTON, IL 61520-8867
(309) 219-3858
Mailing address
20 W WALNUT ST, CANTON, IL 61520-2526
(309) 647-6951
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.009402
IL
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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