Individual
MRS. DEBRA MARIA MANNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
3210 EAGLE RUN DR NE STE 200, GRAND RAPIDS, MI 49525-7051
(616) 957-1200
(616) 957-1297
Mailing address
1215 E. FULTON, GRAND RAPIDS, MI 49503
(616) 742-0351
(616) 742-0370
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801100839
MI
Other
Enumeration date
06/26/2018
Last updated
06/25/2019
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