Individual
ELIZABETH ANNE MANGIAMELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1075 SMITH ST, PROVIDENCE, RI 02908-2700
(401) 369-9224
(401) 369-9275
Mailing address
1075 SMITH ST, PROVIDENCE, RI 02908-2700
(401) 369-9224
(401) 369-9275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02055
RI
Other
Enumeration date
04/15/2008
Last updated
03/08/2022
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