Individual
MS. TRACY MANZONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LEP
Contact information
Practice address
510 KEYSTONE BLVD, PATTERSON, CA 95363-8861
(209) 895-7737
Mailing address
510 KEYSTONE BLVD, PATTERSON, CA 95363-8861
(209) 895-7737
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LEP2471
CA
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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