Individual
LISA M MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
380 HUB ETCHISON PKWY RM R144, RICHMOND, IN 47374-5339
(765) 973-3424
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006035A
IN
1041C0700X
Clinical Social Worker
I.1000161
OH
Other
Enumeration date
09/20/2010
Last updated
01/30/2025
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