Individual
CALLIE MANASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 ENTERPRISE CT STE 100, BLOOMFIELD HILLS, MI 48302-0320
(248) 214-7755
(248) 940-2739
Mailing address
44670 ANN ARBOR RD W, PLYMOUTH, MI 48170-3962
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
7101009373
MI
Other
Enumeration date
05/05/2021
Last updated
02/04/2026
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