Individual
MR. ALLEN BRUCE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
428 S MAIN ST, SUITE 111, NORTH SYRACUSE, NY 13212-2828
(315) 343-3344
Mailing address
7625 HIGHBRIDGE RD, APARTMENT B3, MANLIUS, NY 13104-1627
(315) 750-0135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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