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Individual
MS. GERALDINE MOORE MANAHAN
Active
Individual
MS. GERALDINE MOORE MANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL04689400
NJ
104100000X
Social Worker
72-093628
NY
1041C0700X
Clinical Social Worker
Primary
089354
NY
Other
Enumeration date
12/19/2015
Last updated
09/22/2022
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