JACK MANGOLD

BETHESDA, MD
NPI1679781017
Other NameJOHN WILLIAM MANGOLD
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MD  11074)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
-- JACK MANGOLD LCSW-C
4804 MONTGOMERY LN
BETHESDA, MD 20814-5302
Phone number: 240-604-3744
Mailing Address
-- JACK MANGOLD LCSW-C
7001 MAPLE AVE
CHEVY CHASE, MD 20815-5111
Phone number: 240-604-3744