Individual
CAROLA SUE MANDARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48 FAIRFAX AVE, WHEELING, WV 26003-1426
(304) 243-5702
Mailing address
48 FAIRFAX AVE, WHEELING, WV 26003-1426
(304) 243-5702
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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