Individual
ANGELA L MANRIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
999 RIVERVIEW DR STE 201, TOTOWA, NJ 07512-1165
(551) 276-8291
Mailing address
17 SILVERBEECH CT, UPPER SADDLE RIVER, NJ 07458-2331
(862) 812-5412
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00816100
NJ
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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