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Individual

CLAIRE MANGANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS., SLP

Contact information

Practice address
2900 DELAWARE AVE, KENMORE, NY 14217
(716) 871-9883
Mailing address
127 BRANDYWINE DR, WILLIAMSVILLE, NY 14221-1876

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
027829-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
NY

Other

Enumeration date
04/06/2018
Last updated
08/27/2018
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