Individual
CORY LYNN MCMANIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1023 10TH AVE, SIDNEY, NE 69162-1611
(308) 254-0737
(308) 254-6375
Mailing address
PO BOX 214, SIDNEY, NE 69162-0214
(308) 254-0737
(308) 254-6375
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1004
NE
Other
Enumeration date
05/15/2007
Last updated
02/06/2013
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