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Individual

GARY R MANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
207 COLEGATE DR, MARIETTA, OH 45750-2363
(740) 376-0930
(740) 376-0933
Mailing address
15585 STATE ROUTE 550, FLEMING, OH 45729-5058

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0800530
OH

Other

Enumeration date
11/04/2009
Last updated
11/04/2009
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