Individual
JULIE M MANNARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3250 W LAKE RD STE 2, ERIE, PA 16505-3691
(814) 790-4567
(814) 295-4074
Mailing address
3250 W LAKE RD STE 2, ERIE, PA 16505-3691
(814) 790-4567
(814) 295-4074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019729
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CW019729
STATE BOARD OF SOCIAL WORKERS OF PENNSYLVANIA
PA
Enumeration date
02/10/2018
Last updated
02/07/2020
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