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Individual

CARRIE LEONHART FRATECELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
800 OAKBROOK PL, MANHATTAN, KS 66503-8476
(785) 274-9334
Mailing address
800 OAKBROOK PL, MANHATTAN, KS 66503-8476
(785) 274-9334

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
235Z00000X
Speech-Language Pathologist
Primary
3147
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200564800B
KS
Enumeration date
07/10/2008
Last updated
03/11/2022
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