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Individual

MS. MARILYN D. MANZI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYCHOTHERAPIST LMFT

Contact information

Practice address
101 SW MADISON ST # 1934, PORTLAND, OR 97204-3264
(971) 333-0623
Mailing address
150 SUTTER ST. UNIT 776, SAN FRANCISCO, CA 94104-9020
(971) 333-0623

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
106H00000X
Marriage & Family Therapist
107464
CA
106H00000X
Marriage & Family Therapist
T1463
OR

Other

Enumeration date
09/22/2009
Last updated
11/10/2021
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