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1619266343
CARLA MARIE MANLY
SANTA ROSA, CA
NPI
1619266343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY 25539)
Enumeration Date
2011-04-04
Last Update Date
2022-01-05
Business Address
Dr. CARLA MARIE MANLY Ph.D.
405 CHINN ST STE 102
SANTA ROSA, CA 95404-4311
Phone number: 707-236-0012
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Mailing Address
Dr. CARLA MARIE MANLY Ph.D.
2751 4TH ST PMB #171
SANTA ROSA, CA 95405-4726
Phone number: 707-236-0012
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