Individual
DOMINIC MANGINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2133 ARCH ST, PHILADELPHIA, PA 19103-1350
(267) 341-7259
Mailing address
319 QUEEN ST, PHILADELPHIA, PA 19147-3220
(973) 525-2899
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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