Provider Demographics
NPI:1598723835
Name:MANLEY, PAULA JANE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:JANE
Last Name:MANLEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 EMMETT ST E
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-5682
Mailing Address - Country:US
Mailing Address - Phone:269-965-3247
Mailing Address - Fax:269-966-4135
Practice Address - Street 1:535 EMMETT ST E
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-5682
Practice Address - Country:US
Practice Address - Phone:269-965-3247
Practice Address - Fax:269-966-4135
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010183871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical