MRS. Alice Jean Mang, LISW
NPI #1891786323 in Wright Patterson Afb, Ohio
Provider Information
- NPI Number
- 1891786323
- Entity Type
- Individual
- Name
- MRS. Alice Jean Mang, LISW
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Social Worker - Clinical
- Credential
- LISW
- Enumeration Date
- Nov 3, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4881 SUGAR MAPLE DR
- Address 2
- 88MDG/SGHJ
- State
- Ohio
- ZIP Code
- 45433-5546
- Phone
- (937) 257-1368
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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