Kelly Manwaring

NPI #1790217388 in Lewiston, Idaho

Provider Information

NPI Number
1790217388
Entity Type
Individual
Name
Kelly Manwaring
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Apr 1, 2017
Last Updated
Apr 1, 2017

Practice Location

Address
3315 8TH ST
State
Idaho
ZIP Code
83501-4966
Phone
(208) 743-9543

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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