Individual
DEBRA KAY MANASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP, CC-SLP
Contact information
Practice address
207 BALFOUR RD, WEST MEMPHIS, AR 72301-1701
(870) 735-8592
Mailing address
81 BURKE AVE, MARIANNA, AR 72360-1701
(870) 295-6166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
ASHA01103682
AR
235Z00000X
Speech-Language Pathologist
Primary
SP632
AR
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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