Individual
CALLI MANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/18/2023
Last updated
06/02/2025
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