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Individual
MR. ROBBIE MANGUM
Active
Individual
MR. ROBBIE MANGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.,NCC,LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3631
AL
Other
Enumeration date
05/16/2014
Last updated
12/08/2016
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