Individual
TARA LEE MANIS-HEALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15369 LOS ANGELES DR, LOXAHATCHEE, FL 33470-4237
(561) 662-9393
Mailing address
15369 LOS ANGELES DR, LOXAHATCHEE, FL 33470-4237
(561) 662-9393
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SW6470
FL
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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