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Individual

APRIL DAWN MANGANIELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
33 CONOMO POINT RD, ESSEX, MA 01929-1040
(978) 768-7934
(978) 768-2589
Mailing address
33 CONOMO POINT RD, ESSEX, MA 01929-1040
(978) 768-7934
(978) 768-2589

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LMHC 854
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
774823
TUFTS HEALTH PLAN
MD
01
LM0281
BLUE CROSS/BLUE SHIELD
MA
01
LMFT 351
LICENSE
MA
01
LMHC 854
LICENSE#
MA
Enumeration date
10/04/2006
Last updated
07/08/2007
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