Individual
THERESA MARY MANGANIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E NORTH AVE, BALTIMORE, MD 21202-4888
(302) 650-6257
Mailing address
200 E NORTH AVE, BALTIMORE, MD 21202-4888
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11077
MD
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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