Individual
DR. SANDRA MANGUAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
780 AMERICAN LEGION HWY, ROSLINDALE, MA 02131-3908
(617) 469-8556
Mailing address
7 BRYANT RD, WEST ROXBURY, MA 02132-6101
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
393594
MA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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