Individual
KAYLA MANGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 INGLESIDE AVE, CATONSVILLE, MD 21228-1722
(410) 744-5937
(410) 744-4674
Mailing address
1040 PARK AVE, SUITE 103, BALTIMORE, MD 21201-5633
(410) 837-3977
(410) 752-4218
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC6369
MD
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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