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1376839241
AMANDA WEISS
CHAMPAIGN, IL
NPI
1376839241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146009898)
Enumeration Date
2011-06-20
Last Update Date
2011-06-20
Business Address
-- AMANDA WEISS M.S., CCC-SLP
1505 STONEBLUFF CT
CHAMPAIGN, IL 61822-2408
Phone number: 708-228-6629
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Mailing Address
-- AMANDA WEISS M.S., CCC-SLP
1505 STONEBLUFF CT
CHAMPAIGN, IL 61822-2408
Phone number: 708-228-6629
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