AMANDA PORTRA

BISMARCK, ND
NPI1619326717
Former NameAMANDA SWOPE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ND  1504)
Enumeration Date2016-06-09
Last Update Date2019-10-30
Business Address
AMANDA PORTRA M.S., CCC-SLP
4530 NORTHERN SKY DR
BISMARCK, ND 58503-8534
Phone number: 701-751-6336
Mailing Address
AMANDA PORTRA M.S., CCC-SLP
1511 SHARLOH LOOP APT B
BISMARCK, ND 58501-7822
Phone number: 701-751-6336
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