NPI | 1720319197 |
---|---|
Former Legal Business Name | LYNN MANGIARACINA, LICSW, LLC |
Entity Type | Organization |
Authorized Contact | LYNN SHOREMAN Owner, Clinician 978-219-9875 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 113059) |
Enumeration Date | 2010-01-24 |
Last Update Date | 2020-10-27 |