Individual
BETSY MANZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW 091696
Contact information
Practice address
18 FIVE ROSES E, ANCRAM, NY 12502-5400
(845) 594-4590
Mailing address
18 FIVE ROSES E, ANCRAM, NY 12502-5400
(845) 594-4590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
091696
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841287190
—
NY
Enumeration date
07/29/2015
Last updated
08/05/2021
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