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Individual

MR. JEFFERY RAY MANZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MED

Contact information

Practice address
3350 DOWLEN RD SUITE J, BEAUMONT, TX 77707
(409) 813-1116
Mailing address
5434 OAKWOOD DR, KOUNTZE, TX 77625-7197
(409) 782-0291

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
79252
TX

Other

Enumeration date
12/06/2018
Last updated
12/06/2018
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