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1043571433
AMANDA L JOHANNSSEN
ROCHESTER, NY
NPI
1043571433
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 021864-1)
Enumeration Date
2012-06-03
Last Update Date
2012-06-03
Business Address
-- AMANDA L JOHANNSSEN CCC-SLP
109 TROUP ST
ROCHESTER, NY 14608-2027
Phone number: 315-717-9191
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Mailing Address
-- AMANDA L JOHANNSSEN CCC-SLP
109 TROUP ST
ROCHESTER, NY 14608-2027
Phone number:
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