Individual
MRS. CAROL LYNN MANGLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC, CWHE,
Contact information
Practice address
812 STATE FAIR BLVD, SYRACUSE, NY 13209-1312
(315) 559-7128
Mailing address
812 STATE FAIR BLVD, SYRACUSE, NY 13209-1312
(315) 559-7128
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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