Mangiafico, Kelly Anne

Mangiafico, Kelly Anne is an individual health care provider with primary practice located at 35 Tower Ln , Avon CT 06001-4237. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mangiafico, Kelly Anne can be contacted via phone (860) 284-0048.

Contact Information

Primary practice address
35 Tower Ln Avon CT 06001-4237
Phone: (860) 284-0048
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8037 Connecticut

Profile Details

NPI number 1538218805
LBN Legal business name Mangiafico, Kelly Anne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Oct 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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