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1487741930
AMANDA BETH LONGWELL
BRIDGEPORT, WV
NPI
1487741930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WV SLP-0901)
Enumeration Date
2006-10-06
Last Update Date
2007-07-08
Business Address
Mrs. AMANDA BETH LONGWELL M.S. CCC/SLP
230 GRANDE MDWS
BRIDGEPORT, WV 26330-9711
Phone number: 304-592-2009
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Mailing Address
Mrs. AMANDA BETH LONGWELL M.S. CCC/SLP
1701 MORGANTOWN AVE
FAIRMONT, WV 26554-4513
Phone number: 304-366-8498
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