Individual
KYLE MANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
152 MONROE AVE, PENNDEL, PA 19047-4026
(215) 757-8611
Mailing address
1723 WOODBOURNE RD, LEVITTOWN, PA 19057-1510
(267) 587-2300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW126814
PA
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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