| Mary Mantilla Lcsw, Pllc | |
|
17 Stonehedge Dr Poughkeepsie NY 12603-6509 | |
| (845) 549-8223 | |
| Not Available |
| Full Name | Mary Mantilla Lcsw, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17 Stonehedge Dr, Poughkeepsie, New York |
| Authorized Official Name and Position | Mary A Mantilla (CLINICIAN) |
| Authorized Official Contact | 8455498223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Mantilla Lcsw, Pllc 17 Stonehedge Dr Poughkeepsie NY 12603-6509 Ph: (845) 549-8223 | Mary Mantilla Lcsw, Pllc 17 Stonehedge Dr Poughkeepsie NY 12603-6509 Ph: (845) 549-8223 |
| NPI Number | 1427871664 |
|---|---|
| Provider Enumeration Date | 11/06/2024 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427871664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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