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Individual

JASMINE MANSKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
1128 S MAIN ST, NEWPORT, AR 72112
(870) 217-1060
Mailing address
1128 S MAIN ST, NEWPORT, AR 72112-4518
(870) 217-1060

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
111442
TX
235Z00000X
Speech-Language Pathologist
Primary
200060
AR

Other

Enumeration date
08/12/2016
Last updated
07/12/2018
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