Individual
MR. CARL BUFORD MANGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D., LCSW
Contact information
Practice address
7224 MAIN ST, HOUMA, LA 70360-2852
(985) 868-2799
(985) 868-2766
Mailing address
7224 MAIN ST, HOUMA, LA 70360-2852
(985) 868-2799
(985) 868-2766
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
844
LA
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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