Individual
CARLY MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(218) 213-5365
Mailing address
3331 120TH CIR NE, BLAINE, MN 55449-7522
(218) 213-5365
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8335
MN
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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