# JIM MANNING

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316323348
- **Gender:** Man
- **Credential:** LISW/CP-AP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 00133 | SC | Yes |

## Other

- **Enumeration date:** 07/31/2015
- **Last updated:** 07/31/2015