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AMANDA GOODWIN

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1588265409

Individual Registrant:
 AMANDA  GOODWIN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
510 MAIN ST  CLAYTON, DE 19938-7716 US
Tel: 302-653-2803  Fax: --

Contact information for business:
304 CREST AVE  HADDON HEIGHTS, NJ 08035-1421 US
Tel: --  Fax: --

Registration Information:
NPI: 1588265409
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
DEO4-0010717

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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