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1396218400
LEENA MANGALATH
NORTHPORT, NY
NPI
1396218400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 071241-1)
Enumeration Date
2019-01-10
Last Update Date
2019-01-10
Business Address
LEENA MANGALATH LMSW
24 CLIPPER DR
NORTHPORT, NY 11768-1512
Phone number: 631-903-2033
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Mailing Address
LEENA MANGALATH LMSW
24 CLIPPER DR
NORTHPORT, NY 11768-1512
Phone number: 631-903-2033
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