Individual
LUCY A MANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-2031
(309) 779-2055
Mailing address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-2031
(309) 779-2055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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