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1275232100
AMANDA HENRIQUES
ENCINO, CA
NPI
1275232100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 30383)
Enumeration Date
2023-02-28
Last Update Date
2023-02-28
Business Address
AMANDA HENRIQUES
16255 VENTURA BLVD STE 1015
ENCINO, CA 91436-2318
Phone number: 818-741-7014
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Mailing Address
AMANDA HENRIQUES
405 W ELK AVE APT 3
GLENDALE, CA 91204-1521
Phone number: 310-872-0508
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