Most Relevant Information
Provider Data
| NPI Number: | 1003336074 |
| Provider Name: | MARIE ELIZABETH MANLEY LMSW, CASAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 18017 |
Most Important Dates
| Enumeration Date: | 06/21/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
16204 TUSKEGEE AIRMEN WAY
JAMAICA
NY
114331608
Practice Location Phone/Fax
| Phone: | 7182914844 |
| Fax: | 7182914511 |
Provider Mailing Location
16204 TUSKEGEE AIRMEN WAY
JAMAICA
NY
114331608
Provider Mailing Phone/Fax
| Phone: | 7182914844 |
| Fax: | 7182914511 |