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1508459868
JOSHUA MICHAEL MANGUNO
COVINGTON, LA
NPI
1508459868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 15767)
Enumeration Date
2021-02-18
Last Update Date
2024-06-11
Business Address
JOSHUA MICHAEL MANGUNO LCSW
1505 N FLORIDA ST
COVINGTON, LA 70433-1544
Phone number: 985-900-1626
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Mailing Address
JOSHUA MICHAEL MANGUNO LCSW
1505 N FLORIDA ST
COVINGTON, LA 70433-1544
Phone number: 985-900-1626
Copy
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