Timothy Mangum JR.

NPI #1902612468 in Sandersville, Georgia

Provider Information

NPI Number
1902612468
Entity Type
Individual
Name
Timothy Mangum JR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - School
Enumeration Date
Dec 9, 2024
Last Updated
Dec 9, 2024

Practice Location

Address
215 WESTLAKE DR
State
Georgia
ZIP Code
31082-9427
Phone
(919) 810-3283

Specialties & Taxonomy Codes

Specialty
Psychologist - SchoolSchool

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