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Individual
MANUEL ANDRES MANOTAS
Active
Individual
MANUEL ANDRES MANOTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PSY26343
CA
Other
Enumeration date
08/20/2008
Last updated
02/09/2015
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