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1104104678
AMANDA BETH WYDEVELD
SEATTLE, WA
NPI
1104104678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA LL60233622)
Enumeration Date
2011-08-01
Last Update Date
2011-08-01
Business Address
Ms. AMANDA BETH WYDEVELD CCC-SLP
12550 AURORA AVE N
SEATTLE, WA 98133-8036
Phone number: 206-363-7303
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Mailing Address
Ms. AMANDA BETH WYDEVELD CCC-SLP
12550 AURORA AVE N
SEATTLE, WA 98133-8036
Phone number: 206-826-1097
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