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Individual

CASEY MANNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
1716 STONEGATE DR, DENTON, TX 76205-5446
(214) 952-1562
Mailing address
1716 STONEGATE DR, DENTON, TX 76205-5446
(214) 952-1562

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
110180
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14086494
ASHA
Enumeration date
02/04/2019
Last updated
02/04/2019
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