Individual
MRS. CAROL KAY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC
Contact information
Practice address
33515 10 PL S, 13 CC MANNING AND ASSOCIATES, FEDERAL WAY, WA 98003-7300
(253) 874-2599
(253) 874-2392
Mailing address
8410 45TH ST W, UNIVERSITY PLACE, WA 98466
(253) 564-5506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001754
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8338469
—
WA
Enumeration date
02/05/2007
Last updated
07/08/2007
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