Diane Sue Mangold, LISW

NPI #1972552917 in Storm Lake, Iowa

Provider Information

NPI Number
1972552917
Entity Type
Individual
Name
Diane Sue Mangold, LISW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LISW
Enumeration Date
May 8, 2006
Last Updated
Jul 21, 2008

Practice Location

Address
824 FLINDT DR
Address 2
SUITE 103
State
Iowa
ZIP Code
50588-3208
Phone
(712) 732-3736

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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