Individual
MS. ELIZABETH TENNEY MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
167 N MAIN ST, WALLINGFORD, VT 05773-9800
(802) 446-3577
(802) 446-3801
Mailing address
167 N MAIN ST, WALLINGFORD, VT 05773-9800
(802) 446-3577
(802) 446-3801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VT
Other
Enumeration date
08/29/2020
Last updated
08/29/2020
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