Manuel Alfonso Daza, MHA

NPI #1811607633 in Providence, Rhode Island

Provider Information

NPI Number: 1811607633
Entity Type: Individual
Name: Manuel Alfonso Daza, MHA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: MHA
Enumeration Date: Dec 2, 2022
Last Updated: Dec 2, 2022

Practice Location

Address: 134 THURBERS AVE STE 212
City: Providence
State: Rhode Island
ZIP Code: 02905-4721
Phone: (401) 383-5051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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