Individual
KRISTIN MARIE MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
10729 84TH PL, PLEASANT PRAIRIE, WI 53158-1305
(847) 208-3279
Mailing address
10729 84TH PL, PLEASANT PRAIRIE, WI 53158-1305
(847) 208-3279
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.006822
IL
Other
Enumeration date
06/21/2007
Last updated
01/08/2020
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