Individual
HAILEY MANGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1832
(443) 923-1870
Mailing address
1741 ASHLAND AVE, BALTIMORE, MD 21205-1531
(443) 923-1870
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24928
—
Other
Enumeration date
12/10/2020
Last updated
10/31/2023
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