# PATRICIA MANGONES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1679855407
- **Gender:** F
- **Credential:** PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 115369 | MA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RN2283384 | MA | Yes |

## Other

- **Enumeration date:** 09/19/2011
- **Last updated:** 12/17/2015