Individual
LILLY MANZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1015 OAKHURST DR, CHARLESTON, WV 25314-2049
(304) 345-8101
(304) 345-7386
Mailing address
13900 HULL STREET RD, MIDLOTHIAN, VA 23112-2004
(804) 639-8788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008297
VA
235Z00000X
Speech-Language Pathologist
SLP-1672
WV
Other
Enumeration date
11/06/2015
Last updated
04/26/2018
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