Individual
MRS. DENISE MANGRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 E 11TH ST, BAKERSFIELD, CA 93307-1269
(661) 322-3276
(661) 323-6259
Mailing address
1509 E 11TH ST, BAKERSFIELD, CA 93307-1269
(661) 322-3276
(661) 323-6259
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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