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1104436708
AMANDA JEAN PETERS
MADISON, WI
NPI
1104436708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 116037)
Enumeration Date
2020-08-07
Last Update Date
2022-11-17
Business Address
AMANDA JEAN PETERS M.A., CCC-SLP
128 E OLIN AVE
MADISON, WI 53713-1467
Phone number: 608-252-1320
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Mailing Address
AMANDA JEAN PETERS M.A., CCC-SLP
7201 RANCH ROAD 2222 APT 1318
AUSTIN, TX 78730-3214
Phone number: 224-703-1824
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