Doctor Name: | GWENDOLYN M MANNING-JONES |
NPI Number: | 1932116415 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C001698 |
Business Practice Address: | 45 Comm Park Ln Angier, NC - 275015490 |
Business Phone Number: | 9193312013 |
Business Fax Number: | 9193312015 |
Mailing Address: | Po Box 6331, CONCORD |
State: | NC |
Postal Code: | 280271523 |
Phone Number: | 9193312013 |
Fax Number: | 9193312015 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 03/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C001698 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |