Individual
JODY MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC
Contact information
Practice address
7701 FALL CLIFF RD, LAS VEGAS, NV 89149-5177
(702) 524-0953
Mailing address
7701 FALL CLIFF RD, LAS VEGAS, NV 89149-5177
(702) 524-0953
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 319
NV
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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