Individual
MS. EILEEN MANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
50 NORTHFIELD AVE, WEST ORANGE, NJ 07052-5320
(973) 441-6475
Mailing address
412 MORRIS AVE APT 45, SUMMIT, NJ 07901-1536
(973) 441-6475
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05448700
NJ
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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