Individual
MS. MARY AILEEN MANSUETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
98 E COVE AVE UNIT E, WHEELING, WV 26003-5080
(304) 243-5600
(304) 905-9131
Mailing address
98 E COVE AVE UNIT E, WHEELING, WV 26003-5080
(304) 243-5600
(304) 905-9131
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
881
WV
103TC0700X
Clinical Psychologist
881
WV
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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