Individual
ALEXANDER MANNEBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
N5682 COUNTY ROAD K, FOND DU LAC, WI 54937-7908
(877) 300-9101
Mailing address
8945 N PARK PLAZA CT APT 307, BROWN DEER, WI 53223-2137
(316) 285-5862
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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