Tara Manitsas MA

NPI 1003934886 - Counselor - 101YM0800X

NPI Details
NPI 1003934886
Gender Female
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
182 SW ACADEMY ST
DALLAS OR, 97338-1922, US
Phone (503) 623-9289
Fax
Business Location
182 SW ACADEMY ST
DALLAS OR, 97338-1922, US
Phone (503) 623-9289
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Mrs. Tara Manitsas MA NPI is 1003934886, taxonomy code is 101YM0800X Tara Manitsas MA physically located at 182 Sw Academy St, Dallas OR, 97338-1922. NPI Number Tara Manitsas MA has the Individual type.

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1003934886 NPI number is provided on an as is basis without warranty of any kind. 1003934886 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Manitsas MA are for informational purposes only.