Individual
ELENA MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 EAST ST, PLAINVILLE, CT 06062-2367
(860) 539-6194
Mailing address
103 CRESCENT RD, GLASTONBURY, CT 06033-3308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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