Individual
KENYA MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 WINDSOR PATH STE 5, GEORGETOWN, KY 40324-9819
(216) 468-5000
(216) 456-8128
Mailing address
105 WINDSOR PATH STE 5, GEORGETOWN, KY 40324-9819
(216) 468-5000
(216) 456-8128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
256089
KY
Other
Enumeration date
10/24/2018
Last updated
10/22/2021
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