Individual
JASMINE LONG MANASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
447 SPIVEY RD, COLUMBUS, MS 39705-2932
(717) 433-2991
Mailing address
447 SPIVEY RD, COLUMBUS, MS 39705-2932
(717) 433-2991
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013896
PA
Other
Enumeration date
04/27/2018
Last updated
07/07/2022
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