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Individual

MARISSA MANZANARES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCAT

Contact information

Practice address
109 N 12TH STREET, 822, NEW YORK, NY 10003-4564
(917) 960-3151
Mailing address
109 N 12TH ST # 822, BROOKLYN, NY 11249-1002
(917) 960-3151

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
05 001645
NY

Other

Enumeration date
04/28/2016
Last updated
12/30/2024
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