Terry Lynn Manning
Social Worker, Clinical in Lagrange, GA. Individual provider (NPI-1).
NPI number1255048849
StatusActive
Last updated in NPPESNov 2, 2022
Details
- NPI
- 1255048849
- Entity type
- Individual (NPI-1)
- Name
- Terry Lynn Manning
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 2, 2022
- Certification date
- Nov 2, 2022
- Last updated
- Nov 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | csw007877 | GA | Yes |
Practice location
122 Gordon Commercial DrLagrange, GA 30240-5754
Phone 706-845-4054 · Fax 706-845-4430
Mailing address
122 Gordon Commercial DrLagrange, GA 30240-5754
Phone 706-845-4054 · Fax 706-845-4430
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