Individual
ADRIANA MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10201 MULBERRY LN, UNIT K, BRIDGEVIEW, IL 60455-6000
(773) 817-8344
Mailing address
10201 MULBERRY LN, UNIT K, BRIDGEVIEW, IL 60455-6000
(773) 817-8344
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015981
IL
Other
Enumeration date
06/27/2014
Last updated
01/05/2017
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