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Individual
PEGGY MANGAN
Active
Individual
PEGGY MANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS REHABILITATION CO
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC24296
AZ
101YM0800X
Mental Health Counselor
72506
MT
Other
Enumeration date
10/30/2014
Last updated
12/19/2025
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