Individual
MICHELE LYN CAROL-MANNERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3303 LATROBE DR, CHARLOTTE, NC 28211-4851
(704) 362-2663
Mailing address
3303 LATROBE DR, CHARLOTTE, NC 28211-4851
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4235
NC
103T00000X
Psychologist
PY8244
FL
Other
Enumeration date
05/10/2011
Last updated
01/20/2012
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