Organization
INGRID MANFREDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID MANFREDO LCSW-C, LCADC (OWNER)
(301) 639-1545
Entity
Organization
Contact information
Practice address
178 THOMAS JOHNSON DR, SUITE 205, FREDERICK, MD 21702-4386
(301) 639-1545
Mailing address
PO BOX 1473, FREDERICK, MD 21702-0473
(301) 639-1545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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