Individual
KATHLEEN S MANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 W KENT AVE, MISSOULA, MT 59801-6619
(406) 880-2639
(406) 721-0055
Mailing address
825 W KENT AVE, MISSOULA, MT 59801-6619
(406) 880-2639
(406) 721-0055
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/18/2013
Last updated
08/18/2013
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