Individual
AUTUMN LEA MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
3322 BROADWAY RM 112, EVERETT, WA 98201-4425
(425) 349-7299
Mailing address
523 122ND PL NE APT E3, BELLEVUE, WA 98005-3168
(423) 293-9701
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
60705088
WA
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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