Individual
EILEEN M MANGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
79 MAIN ST STE 207, AUBURN, ME 04210-5834
(207) 653-0776
Mailing address
79 MAIN ST STE 207, AUBURN, ME 04210-5834
(207) 653-0776
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC9716
ME
Other
Enumeration date
10/24/2006
Last updated
12/06/2018
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