Individual
KELLY ANNE MANGIAFICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
175 PHILPOTT LN, BEAVER, WV 25813-9501
(304) 254-9262
Mailing address
175 PHILPOTT LN, BEAVER, WV 25813-9501
(304) 254-9262
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
8037
CT
1041C0700X
Clinical Social Worker
Primary
DP00947067
WV
Other
Enumeration date
01/09/2007
Last updated
07/24/2025
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