Individual
LYNN ANNE MANGIARACINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
95 ELECTRIC AVE, UNIT 2, SOMERVILLE, MA 02144-1605
(617) 519-3103
Mailing address
95 ELECTRIC AVE, UNIT 2, SOMERVILLE, MA 02144-1605
(617) 519-3103
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
113059
MA
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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