Savannah Mangrum

NPI #1003435553 in Mt Juliet, Tennessee

Provider Information

NPI Number: 1003435553
Entity Type: Individual
Name: Savannah Mangrum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 14, 2020
Last Updated: Apr 14, 2020

Practice Location

Address: 2138 FAWNS CREEK XING
City: Mt Juliet
State: Tennessee
ZIP Code: 37122-1207
Phone: (615) 866-8922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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