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Individual

LEAH MANGIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19933 SPUR HILL DR, MONTGOMERY VILLAGE, MD 20886-1435
(847) 840-2759
(847) 840-2759
Mailing address
19933 SPUR HILL DR, MONTGOMERY VILLAGE, MD 20886-1435
(847) 840-2759
(847) 840-2759

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R253879
MD

Other

Enumeration date
10/23/2025
Last updated
10/23/2025
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