Individual
COLETTA JEAN MANSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 INLAND DR STE A, NORTH BEND, OR 97459-1203
(541) 267-5221
Mailing address
2334 BURNING TREE DR SE, GRAND RAPIDS, MI 49546-5515
(616) 490-5967
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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