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1306416763
AMANDA MATSUMOTO
SUMMERVILLE, SC
NPI
1306416763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SC 7631)
Enumeration Date
2021-06-29
Last Update Date
2021-06-29
Business Address
AMANDA MATSUMOTO CCC-SLP
9730 DORCHESTER RD UNIT 206
SUMMERVILLE, SC 29485-9034
Phone number: 843-594-3032
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Mailing Address
AMANDA MATSUMOTO CCC-SLP
PO BOX 51205
SUMMERVILLE, SC 29485-1205
Phone number: 843-594-3032
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