Individual
GEORGE JAMES MANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
615 JEFFERSON BLVD, SUITE 208B, WARWICK, RI 02886-1357
(401) 737-6436
(401) 732-1228
Mailing address
615 JEFFERSON BLVD, SUITE 208B, WARWICK, RI 02886-1357
(401) 737-6436
(401) 732-1228
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00631
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021900
BEACON HEALTH STRATEGIES
RI
01
—
30185-5
BLUE CROSS & BLUE SHIELD
RI
01
—
406570
BLUE CHIP
RI
01
—
6200364
UNITED BEHAVIORAL HEALTH
RI
Enumeration date
04/03/2007
Last updated
07/08/2007
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