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Individual
MRS. BETHANY LYNN MANNING
Active
Individual
MRS. BETHANY LYNN MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
GA
225X00000X
Occupational Therapist
—
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP006524
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12072367
AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION
GA
01
—
SLP006524
STATE OF GEORGIA
GA
Enumeration date
11/14/2008
Last updated
10/14/2025
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