Individual
MS. KATHLEEN MARY MANGANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
51 UPPER MONTCLAIR PLZ, 26A, UPPER MONTCLAIR, NJ 07043-1343
(973) 714-2072
Mailing address
51 UPPER MONTCLAIR PLZ, 26A, UPPER MONTCLAIR, NJ 07043-1343
(973) 714-2072
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00373100
NJ
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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