MRS. Jacqueline Mary Manthous

NPI #1487962973 in Willimantic, Connecticut

Provider Information

NPI Number: 1487962973
Entity Type: Individual
Name: MRS. Jacqueline Mary Manthous
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 17, 2010
Last Updated: Sep 17, 2010

Practice Location

Address: 132 MANSFIELD AVE
City: Willimantic
State: Connecticut
ZIP Code: 06226-2027
Phone: (860) 942-5637

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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