Individual
ELLE MANCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 W MAPLE AVE, GENEVA, AL 36340-1642
(334) 684-3655
(334) 684-0602
Mailing address
251 JOHNSTON ST SE STE 200, DECATUR, AL 35601-2515
(256) 350-1764
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP3941
AL
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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