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Individual

LAKEISHA MANIGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
65 JACKSON DR STE 200, CRANFORD, NJ 07016-3516
(908) 939-8712
Mailing address
65 JACKSON DR, CRANFORD, NJ 07016-3516

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
10/17/2022
Last updated
10/17/2022
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