Individual
MRS. JANTINA ANNA MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
130 HIGHWAY 20 SOUTH, THERMOPOLIS, WY 82443
(307) 864-9227
(307) 864-2296
Mailing address
107 CHEVY CHASE, THERMOPOLIS, WY 82443
(307) 864-2607
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP510
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770688871
—
WY
Enumeration date
08/28/2008
Last updated
08/28/2008
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