Individual
MANASWITA DUTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CFY
Contact information
Practice address
1224 E WESTVIEW CT, SPOKANE, WA 99218-3813
(509) 467-5626
(509) 465-1736
Mailing address
1224 E WESTVIEW CT, SPOKANE, WA 99218-3813
(509) 467-5626
(509) 465-1736
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S160450091
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264414567
TAX ID #
WA
Enumeration date
03/06/2014
Last updated
03/06/2014
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