RICHARD J MANSON

PORT SAINT LUCIE, FL
NPI1215350806
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: FL  5814)
Enumeration Date2014-02-02
Last Update Date2014-02-02
Business Address
RICHARD J MANSON B.S.W. , CAP
7664 S FEDERAL HWY # US1
PORT SAINT LUCIE, FL 34952-2315
Phone number: 772-245-0075
Mailing Address
RICHARD J MANSON B.S.W. , CAP
7664 S FEDERAL HWY # US1
PORT SAINT LUCIE, FL 34952-2315
Phone number: 772-245-0075