Individual
LAQUILA MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 MAIN ST, BEACON, NY 12508-2770
(845) 838-4920
Mailing address
18 HESTER PL, GARNERVILLE, NY 10923-1223
(845) 670-6396
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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