Individual
ELISA MARIE MANTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
2302 N 15TH AVE, PHOENIX, AZ 85007-1201
(602) 362-6223
Mailing address
1310 N 2ND ST APT 2409, PHOENIX, AZ 85004-1778
(724) 954-9336
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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