Individual
JANICE B MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
975 BONNIE BLUE AVE, LAKE CHARLES, LA 70611-4220
(337) 661-2775
Mailing address
975 BONNIE BLUE AVE, LAKE CHARLES, LA 70611-4220
(337) 661-2775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3303
LA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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