Individual
MR. MARCELLINO JOSEPH MANGANELLI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED SOCIAL WOR
Contact information
Practice address
2009 BACHARACH BLVD, ATLANTIC CITY, NJ 08401-3003
(609) 344-5714
(609) 345-0775
Mailing address
2009 BACHARACH BLVD, ATLANTIC CITY, NJ 08401-3003
(609) 344-5714
(609) 345-0775
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37CA00100800
NJ
104100000X
Social Worker
Primary
44SW00736700
NJ
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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