Individual
MRS. BEVERLY LOUISE MANIACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC, NCAC 1
Contact information
Practice address
314 ELLICOTT ST, BATAVIA, NY 14020-3650
(585) 815-0247
Mailing address
314 ELLICOTT ST, BATAVIA, NY 14020-3650
(585) 815-0247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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