Individual
CAROL-LYNN MANCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
2865 W BROAD ST, COLUMBUS, OH 43204-2643
(614) 384-8061
(614) 384-8098
Mailing address
2865 W BROAD ST, COLUMBUS, OH 43204-2643
(614) 384-8061
(614) 384-8098
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S0800337
OH
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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