Individual
KELLY MANGOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
105 WATER ST, CHARDON, OH 44024-1201
(440) 201-9295
(216) 678-9169
Mailing address
105 WATER ST, CHARDON, OH 44024-1201
(440) 201-9295
(216) 678-9169
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
OH
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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