Individual
KRISTEN MANGANIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
264 ROUTE 6 AND 209, MILFORD, PA 18337-9454
(570) 491-4121
Mailing address
212 NEW RD, MONTAGUE, NJ 07827-3418
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012455
PA
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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