Individual
DIANA MANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
13105 BILLIEM DR, AUSTIN, TX 78727-3260
(512) 837-8800
Mailing address
13105 BILLIEM DR, AUSTIN, TX 78727-3260
(512) 837-8800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
35855
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176570301
—
TX
Enumeration date
01/24/2008
Last updated
01/24/2008
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