Individual
MS. CAROL ANN MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW QMRP
Contact information
Practice address
230 HURON AVE, PORT HURON, MI 48060-3822
(810) 966-4468
(810) 985-9448
Mailing address
230 HURON AVE, PORT HURON, MI 48060-3822
(810) 966-4468
(810) 985-9448
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802073017
MI
Other
Enumeration date
08/27/2006
Last updated
07/08/2007
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