Individual
AMANDA STACKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1264 AIRPORT RD, MARION, NC 28752-3190
(828) 652-6701
(828) 652-1412
Mailing address
1264 AIRPORT RD, MARION, NC 28752-3190
(828) 652-6701
(828) 652-1412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10560
NC
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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