Individual
ALYSSA K MANFREDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 NW LEE BLVD, LAWTON, OK 73501
(580) 355-1616
Mailing address
3502 E GORE BLVD APT 10104, LAWTON, OK 73501-9023
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5419
OK
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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