Individual
MRS. CINDIA KINNEY WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-CCC-SLP
Contact information
Practice address
111 N 20TH ST, PHILOMATH, OR 97370-9535
(541) 368-4313
Mailing address
1522 NW JONQUIL PL, CORVALLIS, OR 97330-3637
(541) 753-2668
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11292
OR
Other
Enumeration date
10/24/2010
Last updated
10/24/2010
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