Individual
MANDY STANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25145 SPRING ST, MANHATTAN, IL 60442-1402
(708) 307-5462
Mailing address
25145 SPRING ST, MANHATTAN, IL 60442-1402
(708) 307-5462
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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