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1679781017
JACK MANGOLD
BETHESDA, MD
NPI
1679781017
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Other Name
JOHN WILLIAM MANGOLD
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 11074)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
-- JACK MANGOLD LCSW-C
4804 MONTGOMERY LN
BETHESDA, MD 20814-5302
Phone number: 240-604-3744
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Mailing Address
-- JACK MANGOLD LCSW-C
7001 MAPLE AVE
CHEVY CHASE, MD 20815-5111
Phone number: 240-604-3744
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