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Organization

INTEGRATED FAMILY SERVICES, PLLC

Active
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Organization

INTEGRATED FAMILY SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY JEROME MANLEY-ROOK LCSW (ADMINISTRATIVE DIRECTOR)
(252) 439-0700
Entity
Organization

Contact information

Practice address
9486 NC HWY 305, JACKSON, NC 27845-9679
(252) 534-1088
(252) 534-1288
Mailing address
PO BOX 885, AHOSKIE, NC 27910-0885
(252) 862-4411
(252) 862-4414

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—

Other

Enumeration date
02/28/2012
Last updated
02/28/2012
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