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Individual
PAMELA MANKE
Active
Individual
PAMELA MANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, BCBA, LBA
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2844
CT
103K00000X
Behavior Analyst
Primary
1-17-28659
CT
Other
Enumeration date
11/05/2015
Last updated
04/08/2022
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