Individual
SHANITA GLOVER-MANGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, MSW
Contact information
Practice address
206 S ELMWOOD AVE, BUFFALO, NY 14201-2398
(716) 847-2441
Mailing address
206 S ELMWOOD AVE, BUFFALO, NY 14201-2398
(716) 847-2441
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
121888
NY
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
01/23/2026
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