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Individual

GLORIA DANYALE MANICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1040 S WINTER ST STE 1022, ADRIAN, MI 49221-3876
(517) 264-0173
(517) 265-8237
Mailing address
912 GREENWOOD AVE APT E, MONROE, MI 48162-3082
(313) 408-8110

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
03/11/2022
Last updated
03/11/2022
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