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Individual

ASHLEY MANGUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11630 BOARDWALK LN, FISHERS, IN 46037-8789
(317) 522-0224
Mailing address
11630 BOARDWALK LN, FISHERS, IN 46037-8789

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33006883A
IN

Other

Enumeration date
03/31/2014
Last updated
03/31/2014
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