Individual
MR. MCKINLEY HUNTER MANASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
2115 HAND AVE, BAY MINETTE, AL 36507-4149
(251) 937-2823
Mailing address
3024 LINDHOLM DR E, MOBILE, AL 36693-3540
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2447
AL
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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