Individual
CALLIXTA INNOCENT MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 W BURLESON ST, MARSHALL, TX 75670-3213
(254) 595-1677
Mailing address
414 W BURLESON ST, MARSHALL, TX 75670-3213
(254) 595-1677
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
TX
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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