Individual
MRS. BERNICE MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
338 MAIN ST, WAKEFIELD, MA 01880-5013
(781) 246-2010
(781) 246-1448
Mailing address
66 HILLCREST AVE, LEXINGTON, MA 02420-2947
(781) 862-4716
(781) 372-1032
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
105656
MA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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