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1851643357
AMANDA THETFORD DORADO
CHARLESTON, WV
NPI
1851643357
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Former Name
AMANDA THETFORD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WV SLP-1403)
Enumeration Date
2012-10-08
Last Update Date
2012-10-08
Business Address
-- AMANDA THETFORD DORADO MA
1015 OAKHURST DR
CHARLESTON, WV 25314-2049
Phone number: 304-345-8101
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Mailing Address
-- AMANDA THETFORD DORADO MA
1015 OAKHURST DR
CHARLESTON, WV 25314-2049
Phone number: 304-345-8101
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