MS. Shamaine Mangram

NPI #1912503491 in Cheyenne, Wyoming

Provider Information

NPI Number
1912503491
Entity Type
Individual
Name
MS. Shamaine Mangram
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Dec 9, 2020
Last Updated
Jan 8, 2021

Practice Location

Address
4025 RAWLINS ST
State
Wyoming
ZIP Code
82001-1900
Phone
(307) 426-4797

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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