Individual
COURTNEY MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 WASON AVE, SPRINGFIELD, MA 01107-1274
(413) 794-8890
Mailing address
50 WASON AVE, SPRINGFIELD, MA 01107-1274
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
PGC105
MA
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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