Most Relevant Information
Provider Data
| NPI Number: | 1003334269 |
| Provider Name: | AMANDA ASHLEY MANNING LCSW-A |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/07/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
200 TARPON TRL
JACKSONVILLE
NC
285465287
Practice Location Phone/Fax
| Phone: | 9109381114 |
| Fax: | 9109381118 |
Provider Mailing Location
200 TARPON TRL
JACKSONVILLE
NC
285465287
Provider Mailing Phone/Fax
| Phone: | 9109381114 |
| Fax: | 9109381118 |