Individual
MRS. MANDY R GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 OREGON ST, HIAWATHA, KS 66434-2231
(785) 742-2464
(785) 742-2552
Mailing address
124 S 7TH ST, HIAWATHA, KS 66434-2307
(785) 741-0781
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2636
KS
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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