Organization
KATHRYN MANCEWICZ LLC
Active
Other names
Moving Forward Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN K MANCEWICZ MS, CCC-SLP (OWNER)
(612) 812-2174
Entity
Organization
Contact information
Practice address
221 W BEAR LAKE RD NE, KALKASKA, MI 49646-8566
(612) 812-2174
Mailing address
221 W BEAR LAKE RD NE, KALKASKA, MI 49646-8566
(612) 812-2174
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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