Manassa, Laura M

Manassa, Laura M is an individual health care provider with primary practice located at 1540 Kingsley Ave , Orange Park FL 32073-4511. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Manassa, Laura M can be contacted via phone (904) 239-3677.

Contact Information

Primary practice address
1540 Kingsley Ave Orange Park FL 32073-4511
Phone: (904) 239-3677
Fax: (904) 239-3278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH5784 Florida

Profile Details

NPI number 1740645951
LBN Legal business name Manassa, Laura M
Credentials MACP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2015
Last updated Dec 15th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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