Individual
GREGORY WILLIAM MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRC
Contact information
Practice address
1776 N WILLIAMSON BLVD, DAYTONA BEACH, FL 32117-5250
(386) 323-7534
Mailing address
1776 N WILLIAMSON BLVD, DAYTONA BEACH, FL 32117-5250
(386) 323-7534
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
00036676
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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