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Individual

MICHELLE AMENDOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
128 E OLIN AVE, MADISON, WI 53713-1467
(608) 252-1320
Mailing address
2225 ATWOOD AVE APT 202, MADISON, WI 53704-5662
(630) 709-5723

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA16734
FL
235Z00000X
Speech-Language Pathologist
SZ8068
FL

Other

Enumeration date
06/10/2017
Last updated
10/05/2021
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