Individual
MRS. SANDRA DIANA MANTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2005 W 8TH ST, SUITE 103, ERIE, PA 16505-4759
(814) 218-9315
Mailing address
645 E 33RD ST, ERIE, PA 16504-1701
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW123024
PA
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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