Individual
MADELEINE BERNADETTE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
500 VICTORY RD, QUINCY, MA 02171-3139
(617) 774-1054
Mailing address
39 SMITHWHEEL RD, 49, OLD ORCHARD BEACH, ME 04064-1039
(617) 686-0441
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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