Individual
ANGELA MANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2924 STANTON ST, SPRINGFIELD, IL 62703-4315
(217) 585-9185
Mailing address
2924 STANTON ST, SPRINGFIELD, IL 62703-4315
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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