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1033453444
ANDREA VIOLET WHITAKER
LOVELL, WY
NPI
1033453444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WY SP/CFY-622)
Enumeration Date
2012-11-26
Last Update Date
2012-11-26
Business Address
-- ANDREA VIOLET WHITAKER M.S., CCC-SLP
435 E 5TH ST
LOVELL, WY 82431-1947
Phone number: 307-548-6722
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Mailing Address
-- ANDREA VIOLET WHITAKER M.S., CCC-SLP
842 LANE 13
LOVELL, WY 82431-9523
Phone number: 307-548-6722
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