Individual
JOSHUA MICHAEL MANGUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1505 N FLORIDA ST, COVINGTON, LA 70433-1544
(985) 900-1626
(985) 867-1768
Mailing address
1505 N FLORIDA ST, COVINGTON, LA 70433-1544
(985) 900-1626
(985) 867-1768
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15767
LA
Other
Enumeration date
02/18/2021
Last updated
06/11/2024
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