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Individual
MATTHEW MANGOSH
Active
Individual
MATTHEW MANGOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-S
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.2405088-SUPV
OH
Other
Enumeration date
09/29/2017
Last updated
06/30/2025
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