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Individual
MS. SUSAN SLACK MANNING
Active
Individual
MS. SUSAN SLACK MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1778
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13295
BLUE CROSS/BLUE SHIELD
NC
05
—
7411651
—
NC
Enumeration date
06/11/2006
Last updated
07/09/2007
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