Individual
BRIANNA MARIE MANIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
737 BANK ST, LODI, OH 44254-1025
(330) 636-1741
Mailing address
9592 OLD MILL RD, SPENCER, OH 44275-9732
(330) 410-5752
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
166379
OH
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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