Individual
MR. ANTHONY MANLEY-ROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
228 MAIN ST E, AHOSKIE, NC 27910-3418
(252) 209-0388
(252) 209-0488
Mailing address
PO BOX 885, AHOSKIE, NC 27910-0885
(252) 209-0388
(252) 209-0488
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003507
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1385N
BLUE CROSS/ BLUE SHEILD
NC
05
—
6005390
—
NC
Enumeration date
07/13/2006
Last updated
05/23/2008
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