Individual
SUSAN MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD CCCA
Contact information
Practice address
3316 PATRIOT CT, HERRIN, IL 62948-3782
(618) 993-0307
(618) 993-0807
Mailing address
1707 CAESAR LN, MARION, IL 62959-1579
(618) 993-0307
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000803
IL
Other
Enumeration date
02/26/2007
Last updated
05/21/2008
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