Mary Carol Calaway, CCC S-LP
NPI #1114125747 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1114125747
- Entity Type
- Individual
- Name
- Mary Carol Calaway, CCC S-LP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC S-LP
- Enumeration Date
- Jul 5, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2200 IRONWOOD PL
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-2610
- Phone
- (208) 667-6486
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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