Individual
HEIDI E MANGINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFTA
Contact information
Practice address
55 LAKE AVE, GREENWICH, CT 06830
(646) 992-7099
Mailing address
55 LAKE AVE, GREENWICH, CT 06830
(646) 992-7099
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2583
CT
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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