Individual
VYMAN MUNGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E CAROLINA AVE, HARTSVILLE, SC 29550-4396
(843) 332-4156
Mailing address
510 E CAROLINA AVE, HARTSVILLE, SC 29550-4396
(843) 332-4156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
09/22/2022
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