| NPI | 1639269384 |
|---|---|
| Other Name | LAURIE S MANCHESTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC2767) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |