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1154553576
AMANDA DIANE HENNINGER
RICHMOND, KY
NPI
1154553576
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Former Name
AMANDA DIANE WARREN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: KY 3630)
Enumeration Date
2009-08-18
Last Update Date
2009-08-18
Business Address
Mrs. AMANDA DIANE HENNINGER MA, CCC-SLP
342 BOWERWOOD DR
RICHMOND, KY 40475-2734
Phone number: 859-200-9563
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Mailing Address
Mrs. AMANDA DIANE HENNINGER MA, CCC-SLP
342 BOWERWOOD DR
RICHMOND, KY 40475-2734
Phone number: 859-200-9563
Copy
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