Individual
CHARLENE MANNERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
24629 MANCHESTER DR, BROWNSTOWN, MI 48134-1889
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801068460
MI
Other
Enumeration date
07/11/2015
Last updated
11/30/2018
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