Individual
ROBERTA MANGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS. MSW. LPC
Contact information
Practice address
204 N MCLEAN ST, LINCOLN, IL 62656-2847
(217) 671-7063
Mailing address
204 N MCLEAN ST, LINCOLN, IL 62656-2847
(217) 671-7063
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.004073
IL
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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