Individual
SHELLYBRIGHT MANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 VARNUM ST NE, WASHINGTON, DC 20017-2107
(202) 851-4885
Mailing address
1160 VARNUM ST NE, WASHINGTON, DC 20017-2107
(202) 851-4885
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
DC
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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