Individual
EMILY MANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16012 INDUS DR, WOODBRIDGE, VA 22191-4336
(410) 409-9045
Mailing address
16012 INDUS DR, WOODBRIDGE, VA 22191-4336
(410) 409-9045
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006890
VA
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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