Individual
MRS. AUDREY LYNN MANALANG GILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
9217 BRAYDEN BAY ST, LAS VEGAS, NV 89178-9311
(650) 564-4352
Mailing address
9217 BRAYDEN BAY ST, LAS VEGAS, NV 89178-9311
(661) 645-3412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
23578
CA
235Z00000X
Speech-Language Pathologist
Primary
SP-2808
NV
Other
Enumeration date
10/09/2018
Last updated
10/07/2022
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