Provider Information for 1225195985
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Mr. TODD JOSEPH MANGINI MA Counseling Psych
Sex: Male
NPI: 1225195985
Last Updated: 2009-09-30
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1225195985 | ||||||||
| Enumeration Date | 2007-01-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1470 17TH AVE SAN FRANCISCO, CA 94122-3403 United States Phone: 415-513-9123 | Fax: | ||||||||
| Primary Practice Address | 250 EXECUTIVE PARK BLVD 4900 SAN FRANCISCO, CA 94134-3306 United States Phone: 415-513-9123 | Fax: | ||||||||
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