Individual
MELISSA MANGANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
N14W23777 STONE RIDGE DR STE 135, WAUKESHA, WI 53188-1164
(414) 446-0751
Mailing address
N14W23777 STONE RIDGE DR STE 135, WAUKESHA, WI 53188-1164
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
132080
WI
1041C0700X
Clinical Social Worker
Primary
11587-123
WI
Other
Enumeration date
09/09/2022
Last updated
06/04/2024
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