Individual
GEORGENE ANN MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
701 LEE ST, DES PLAINES, IL 60016-4539
(847) 795-3962
Mailing address
2639 PROVIDENCE LN, LINDENHURST, IL 60046-4947
(847) 265-6044
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-005662
IL
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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