Anissa Manson

NPI #1619410974 in Okahoma City, Oklahoma

Provider Information

NPI Number: 1619410974
Entity Type: Individual
Name: Anissa Manson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Nov 18, 2016
Last Updated: Nov 18, 2016

Practice Location

Address: 6501 N BROADWAY EXT 180
City: Okahoma City
State: Oklahoma
ZIP Code: 73016
Phone: (405) 607-4041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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