Individual
MR. CHARLES EDWARD MANRY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CCC-SLP
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-2300
Mailing address
23 JENNESS STREET, LOWELL, MA 01851-4917
(978) 677-6682
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MA
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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