Individual
JONATHAN MANGRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3262 WESTHEIMER RD # 934, HOUSTON, TX 77098-1002
(713) 299-8319
Mailing address
3262 WESTHEIMER RD # 934, HOUSTON, TX 77098-1002
(713) 299-8319
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
66297
TX
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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