Individual
LISA MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1330 MCCORMICK DR, LARGO, MD 20774-5398
(301) 773-3500
Mailing address
1330 MCCORMICK DR, LARGO, MD 20774-5398
(301) 773-3500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12127
MD
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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