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Individual

MS. BONNIE A MANUEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5045 BACKLICK RD, ANNANDALE, VA 22003-6045
(571) 235-2272
Mailing address
8424 WASHINGTON AVE, ALEXANDRIA, VA 22309-2319
(518) 522-3628

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007238
VA

Other

Enumeration date
07/31/2007
Last updated
12/04/2011
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