Individual
MRS. AMANDA KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
107 S LINCOLN ST, SMITHTON, IL 62285-1617
(618) 235-4600
Mailing address
6489 BRAND LAKE DR, WATERLOO, IL 62298-3031
(618) 246-7894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.011039
IL
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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