Individual
JULIA MANGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 ELDORADO DR, GREENSBORO, NC 27406-9307
(336) 674-2540
Mailing address
4500 ELDORADO DR, GREENSBORO, NC 27406-9307
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12697
NC
235Z00000X
Speech-Language Pathologist
Primary
27892
CA
Other
Enumeration date
03/15/2018
Last updated
04/04/2019
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