Individual
MS. CARLA SUE MINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
119 POLK ST, TWIN FALLS, ID 83301-5158
(208) 308-4861
Mailing address
119 POLK ST, TWIN FALLS, ID 83301-5158
(208) 308-4861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1249
ID
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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