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Organization
MANGOLD ENTERPRISE
Active
Organization
MANGOLD ENTERPRISE
Active
Other names
Kelli Mangold, LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI MANGOLD LCSW (OWNER)
(806) 471-0334
Entity
Organization
Contact information
Practice address
2417 HOBBS RD STE 105, AMARILLO, TX 79109-1533
(806) 471-0334
Mailing address
PO BOX 271, CANYON, TX 79015-0271
(806) 471-0334
(806) 318-3046
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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