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Individual

MICHAEL JAMES MANWARREN II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
236 CRAIG MANOR RD, LANCASTER, SC 29720-6531
(704) 517-0206
Mailing address
236 CRAIG MANOR RD, LANCASTER, SC 29720-6531
(704) 517-0206

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/07/2024
Last updated
10/07/2024
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