Individual
AMANDA CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 S 23RD ST, BEAUMONT, TX 77707-4202
(409) 842-9700
Mailing address
17985 MAGNOLIA DR, BEAUMONT, TX 77705-8553
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
106295
TX
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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