Individual
MRS. ALEXIS APRIL MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 COOPER POINT RD SW STE 5, OLYMPIA, WA 98502-7206
(360) 464-9052
Mailing address
5407 15TH AVE NE # B205, LACEY, WA 98516-5761
(480) 450-7559
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/30/2025
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