Keisha Lagail Manahan

NPI #1487128351 in Desoto, Texas

Provider Information

NPI Number: 1487128351
Entity Type: Individual
Name: Keisha Lagail Manahan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Jan 14, 2019
Last Updated: Jan 14, 2019

Practice Location

Address: 543 DESOTO DR
City: Desoto
State: Texas
ZIP Code: 75115-6073
Phone: (214) 518-2055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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