Individual
MRS. JESSICA S MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
3047 E MAIN RD, SUITE 7B, PORTSMOUTH, RI 02871-4263
(401) 935-9041
(401) 683-0753
Mailing address
PO BOX 671, PORTSMOUTH, RI 02871-0671
(401) 935-9041
(401) 683-0753
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01902
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JM55185
—
RI
Enumeration date
08/31/2006
Last updated
01/03/2015
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