Individual
DOLORES M MANIGAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 S 3RD ST, BROOKLYN, NY 11211-5509
(718) 384-6400
(718) 388-1651
Mailing address
311 E 175TH ST, BRONX, NY 10457-5859
(718) 960-7522
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36391
NY
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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