AMANDA THETFORD DORADO

CHARLESTON, WV
NPI1851643357
Former NameAMANDA THETFORD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WV  SLP-1403)
Enumeration Date2012-10-08
Last Update Date2012-10-08
Business Address
-- AMANDA THETFORD DORADO MA
1015 OAKHURST DR
CHARLESTON, WV 25314-2049
Phone number: 304-345-8101
Mailing Address
-- AMANDA THETFORD DORADO MA
1015 OAKHURST DR
CHARLESTON, WV 25314-2049
Phone number: 304-345-8101