Individual
MIRIAM MANASSEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2531 BRIARCLIFF RD NE, ATLANTA, GA 30329-3017
(443) 854-7366
Mailing address
14722 70TH RD, FLUSHING, NY 11367-1720
(718) 575-1445
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1111821
NY
Other
Enumeration date
01/31/2011
Last updated
11/11/2015
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