DERRICK LEMONT MANIGO

BRONX, NY
NPI1881252138
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  083835)
Enumeration Date2019-06-02
Last Update Date2019-06-02
Business Address
Mr. DERRICK LEMONT MANIGO LCSW
120 W 176TH ST APT 5F
BRONX, NY 10453-6715
Phone number: 917-282-5203
Mailing Address
Mr. DERRICK LEMONT MANIGO LCSW
120 W 176TH ST APT 5F
BRONX, NY 10453-6715
Phone number: 917-282-5203