# LORI BETH MANGAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1033623376
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 252940 | KY | Yes |
| 1041C0700X | Clinical Social Worker | 292540 | KY | — |
| 1041C0700X | Clinical Social Worker | SW17168 | FL | — |

## Other

- **Enumeration date:** 11/22/2017
- **Last updated:** 12/18/2023