Individual
BRANDY MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
152 NUTMEG DR, RUSTON, LA 71270-0104
(318) 278-3783
Mailing address
PO BOX 13203, RUSTON, LA 71273-3203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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