Individual
REBECCA ANGELA THERESE MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
940 PENAMINT CT, CHANHASSEN, MN 55317-9598
(218) 348-9169
Mailing address
940 PENAMINT CT, CHANHASSEN, MN 55317-9598
(218) 348-9169
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10483
MN
Other
Enumeration date
10/27/2020
Last updated
10/17/2023
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