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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