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Individual

CHRISTOPHER MANISCALCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
471 SPENCER DR, WEST PALM BEACH, FL 33409-3675
(561) 873-2122
(561) 805-3690
Mailing address
4414 FUSCHIA CIR N, PALM BEACH GARDENS, FL 33410-5425
(561) 865-6889

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10282
TN
1041C0700X
Clinical Social Worker
Primary
SW19654
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119281300
FL
Enumeration date
02/01/2018
Last updated
05/14/2024
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