Individual
DANIEL MATTHEW MANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
(703) 792-5699
Mailing address
16012 INDUS DR, WOODBRIDGE, VA 22191-4336
(616) 581-0470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008918
VA
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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