Individual
AMY MARIA MANRIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E. VIRGINIA STREET, JOPLIN, MO 64801
(417) 347-7700
(417) 347-7738
Mailing address
651 S 180TH ST, PITTSBURG, KS 66762-7242
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012037171
MO
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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