Samantha Mangrum

NPI #1275052003 in Union, Missouri

Provider Information

NPI Number: 1275052003
Entity Type: Individual
Name: Samantha Mangrum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Sep 13, 2017
Last Updated: Sep 13, 2017

Practice Location

Address: 411 E LOCUST ST
City: Union
State: Missouri
ZIP Code: 63084-1865
Phone: (636) 584-8724

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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