Individual
DONNA R MANENGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 W BROAD ST, ROCHESTER, NY 14614-1103
(585) 262-8100
Mailing address
359 SAWYER ST, ROCHESTER, NY 14619-1931
(585) 527-9835
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
079136-1
NY
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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