AMANDA R GRAVES

FORT WAYNE, IN
NPI1134370588
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  22003985A)
Enumeration Date2008-10-03
Last Update Date2016-06-20
Business Address
-- AMANDA R GRAVES
10021 DUPONT CIRCLE CT
FORT WAYNE, IN 46825-1604
Phone number: 260-426-8117
Mailing Address
-- AMANDA R GRAVES
10021 DUPONT CIRCLE CT
FORT WAYNE, IN 46825-1604
Phone number: 260-426-8117