Individual
ERIKA LYNN MANESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
533 W STATE RD STE 103, PLEASANT GROVE, UT 84062-2114
(435) 263-0869
Mailing address
533 W STATE RD STE 103, PLEASANT GROVE, UT 84062-2114
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/28/2021
Last updated
06/20/2022
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