Individual
BETH LYNN MANITSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
641 PRESIDENT ST STE 105, BROOKLYN, NY 11215-1186
(917) 804-1074
Mailing address
641 PRESIDENT ST STE 105, BROOKLYN, NY 11215-1186
(917) 804-1074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
092717
NY
Other
Enumeration date
04/25/2018
Last updated
07/06/2022
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