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1316190374
AMANDA S DIETZ
PALM COAST, FL
NPI
1316190374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA8518)
Enumeration Date
2008-11-03
Last Update Date
2012-04-26
Business Address
-- AMANDA S DIETZ MS-CCC, SLP
10 BELLMORE PL.
PALM COAST, FL 32137
Phone number: 386-627-0632
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Mailing Address
-- AMANDA S DIETZ MS-CCC, SLP
10 BELLMORE PL.
PALM COAST, FL 32137
Phone number: 386-627-0632
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