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Individual

JIM MANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LISW/CP-AP

Contact information

Practice address
2638 TWO NOTCH RD, SUITE 108, COLUMBIA, SC 29204-1454
(803) 779-7257
Mailing address
2638 TWO NOTCH RD, SUITE 108, COLUMBIA, SC 29204-1454
(803) 779-7257

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00133
SC

Other

Enumeration date
07/31/2015
Last updated
07/31/2015
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