Individual
MARY KOLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
171 N MAIN ST STE H, SHERIDAN, WY 82801-3910
(570) 735-1784
Mailing address
171 N MAIN ST STE H, SHERIDAN, WY 82801-3910
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17053
OR
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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