Individual
BETHANY MANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
11650 DOWNES ST NE, LOWELL, MI 49331-9489
(616) 897-7842
Mailing address
8149 GREEN VALLEY DR., GRAND RAPIDS, MI 49504
(616) 987-0883
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801118189
MI
Other
Enumeration date
05/26/2021
Last updated
02/19/2025
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