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Organization

CCA COMPANIES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEANNA E MANUEL PSY.D. (DIRECTOR)
(937) 431-3870
Entity
Organization

Contact information

Practice address
810 ORCHARD LN STE 102, BEAVERCREEK TOWNSHIP, OH 45434-7221
(937) 431-3870
(937) 431-3871
Mailing address
810 ORCHARD LN STE 102, BEAVERCREEK TOWNSHIP, OH 45434-7221
(937) 431-3870
(937) 431-3871

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
11/14/2008
Last updated
05/03/2012
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