Individual
RAQUEL ANDREA MANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APC, NCC
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
1496 WHITE WING CT, NORCROSS, GA 30093-2361
(404) 409-9333
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC006500
GA
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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