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Individual

MANDA RAE CHRISTENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP-CCC

Contact information

Practice address
15625 CEDAR LN, BASEHOR, KS 66012-7380
(785) 304-1600
Mailing address
15625 CEDAR LANE, BASEHOR, KS 66012
(785) 304-1600

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2296
KS

Other

Enumeration date
08/06/2013
Last updated
08/06/2013
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