Organization
MANIFEST FAMILY SERVICES
Active
Organization
MANIFEST FAMILY SERVICES
Active
Other names
Manifest Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARGUERITE ANNE ALLEN M.DIV (PROGRAM DIRECTOR)
(980) 446-0004
Entity
Organization
Contact information
Practice address
110 STOCKTON ST STE M, STATESVILLE, NC 28677-5253
(980) 446-0004
(980) 446-0004
Mailing address
PO BOX 1702, STATESVILLE, NC 28687-1702
(980) 446-0004
(980) 446-0004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104321
—
NC
Enumeration date
02/03/2021
Last updated
06/18/2021
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