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General NPI Number Information
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NPI Number | 1215428313
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Entity Type | Organization
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Legal Business Name | PATRICIA MANNY, MA, LMFT LLC
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 300 WASHINGTON STREET
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City | NORWICH
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State | CT
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Zip | 06360
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Country | US
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Telephone | 860-222-4818
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Fax |
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Provider Business Mailing Address
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Address Line | 14 GOLDBERG AVE
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City | NORWICH
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State | CT
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Zip | 06360-4314
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Country | US
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Telephone | 860-823-1079
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | PATRICIA A. MANNY
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Credential | LMFT
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Telephone | 860-222-4818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 001752
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License Number State | CT
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