Individual
GIOVANNINA MARIE MANGINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
148 CLARK ST # 3, PORTLAND, ME 04102-3831
(802) 356-2329
Mailing address
148 CLARK ST, PORTLAND, ME 04102-3831
(802) 356-2329
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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