Amanda Freeman Wortman MA

NPI 1497058077 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1497058077
Gender Female
Enumeration Date 12/21/2010
Last Updated 12/21/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
185 CHARLOIS BLVD
WINSTON SALEM NC, 27103-1521, US
Phone (336) 725-0222
Fax
Business Location
185 CHARLOIS BLVD
WINSTON SALEM NC, 27103-1521, US
Phone (336) 725-0222
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State North Carolina
License Number 6212
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According to our database, Mrs. Amanda Freeman Wortman MA NPI is 1497058077, taxonomy code is 235Z00000X and license number is 6212, license state is located at North Carolina. Amanda Freeman Wortman MA physically located at 185 Charlois Blvd, Winston Salem NC, 27103-1521. NPI Number Amanda Freeman Wortman MA has the Individual type.

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1497058077 NPI number is provided on an as is basis without warranty of any kind. 1497058077 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Freeman Wortman MA are for informational purposes only.