Individual
JESSULI ANNA WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2314 TERRY WAY, MANHATTAN, KS 66502-2046
(785) 313-2926
Mailing address
2314 TERRY WAY, MANHATTAN, KS 66502-2046
(785) 313-2926
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4601
KS
Other
Enumeration date
01/15/2022
Last updated
01/15/2022
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