Individual
MRS. MAKENZIE MANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 NW 118TH ST STE 100, CLIVE, IA 50325
(515) 402-4103
Mailing address
1860 NW 118TH ST STE 120, CLIVE, IA 50325-8278
(515) 991-7609
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-21997
—
Other
Enumeration date
07/14/2016
Last updated
06/07/2018
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