Individual
TANYA S. MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. CCC/SLP
Contact information
Practice address
385 REBIE RD, COCHRAN, GA 31014-2632
(478) 358-9447
Mailing address
385 REBIE RD, COCHRAN, GA 31014-2632
(478) 358-9447
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003857
GA
Other
Enumeration date
05/07/2010
Last updated
05/07/2010
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