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1639307929
AMANDA LANGE
AUSTIN, TX
NPI
1639307929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 104483)
Enumeration Date
2009-06-25
Last Update Date
2009-06-25
Business Address
-- AMANDA LANGE SLP
1611 HEADWAY CIR
AUSTIN, TX 78754-5160
Phone number: 512-615-7123
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Mailing Address
-- AMANDA LANGE SLP
816 SHERATON AVE
AUSTIN, TX 78745-2044
Phone number: 979-885-9785
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