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1639920119
DWIGHT HANNIBAL MANLEY
VALDOSTA, GA
NPI
1639920119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2024-04-01
Last Update Date
2024-04-01
Business Address
DWIGHT HANNIBAL MANLEY MS
1508 IOLA DR
VALDOSTA, GA 31602-3815
Phone number: 229-412-2081
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Mailing Address
DWIGHT HANNIBAL MANLEY MS
1508 IOLA DR
VALDOSTA, GA 31602-3815
Phone number: 229-412-2081
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