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Individual

MS. DIANA L MANGANELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
2100 WASHINGTON BLVD, ARLINGTON, VA 22204-5703
(703) 228-1525
(703) 228-1171
Mailing address
2100 WASHINGTON BLVD, ARLINGTON, VA 22204-5703
(703) 228-1525
(703) 228-1171

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005791
VA

Other

Enumeration date
09/11/2012
Last updated
09/11/2012
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