Individual
MR. EUGENE MANGIARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2220 N STAR ST APT 15, ANCHORAGE, AK 99503-1886
(907) 345-0158
Mailing address
2220 N STAR ST APT 15, ANCHORAGE, AK 99503-1886
(907) 345-0158
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
AA0078
AK
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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