Individual
ALYSSA MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
200 TRADE ST, TARBORO, NC 27886-5055
(252) 823-8100
Mailing address
PO BOX 327, ROBERSONVILLE, NC 27871-0327
(252) 661-1687
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7612
NC
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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