Individual
MRS. KATIE LOIS MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PPSC, LCSW
Contact information
Practice address
915 54TH ST, OAKLAND, CA 94608-3142
(253) 227-1961
Mailing address
915 54TH ST, OAKLAND, CA 94608-3142
(510) 879-4619
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
439006H
WA
Other
Enumeration date
08/23/2007
Last updated
11/29/2022
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