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Individual
MS. NANCY M MANN
Active
Individual
MS. NANCY M MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
001403
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
001403
CT
101YM0800X
Mental Health Counselor
Primary
001403
CT
101YP2500X
Professional Counselor
001403
CT
1041C0700X
Clinical Social Worker
001403
CT
106H00000X
Marriage & Family Therapist
001403
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001403
DEPT OF PUBLIC HEALTH
CT
01
—
024740000
MAGELLAN FOR CHN
CT
01
—
11495223
CAQH
CT
01
—
197830
MHN
CT
01
—
329553
VALU OPT CHN CT SAGA
CT
Enumeration date
05/11/2006
Last updated
02/16/2012
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