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1063167716
MARY LYNN MANUEL
MORGANTOWN, WV
NPI
1063167716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: WV 2648)
Enumeration Date
2022-02-21
Last Update Date
2022-02-21
Business Address
MARY LYNN MANUEL LPC
121 SIMPSON ST
MORGANTOWN, WV 26501-5921
Phone number: 681-285-1133
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Mailing Address
MARY LYNN MANUEL LPC
24 PHEASANT RIDGE RD
BRIDGEPORT, WV 26330-9325
Phone number:
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