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Individual

KERRI BETH CARSON MANNION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
101 C ST, MINOT AFB, ND 58704-1202
(701) 727-3320
Mailing address
106 GRAMERCY CT APT 1, MINOT AFB, ND 58704-1168
(520) 664-8529

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3032
ND
235Z00000X
Speech-Language Pathologist
Primary
3244154
WI

Other

Enumeration date
07/21/2009
Last updated
08/03/2026
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