Individual
JECELY MANFOSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6910 S HIGHLAND DR STE 1, COTTONWOOD HEIGHTS, UT 84121-3061
(801) 935-4171
(801) 935-4946
Mailing address
5450 E MCLELLAN RD UNIT 210, MESA, AZ 85205-3459
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA13902
AZ
Other
Enumeration date
06/07/2021
Last updated
04/21/2023
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