Individual
AUTUMN MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3835 CHESTNUT ST, EMMAUS, PA 18049-1830
(484) 232-5288
Mailing address
436 YEKER FARMS LN, ALLENTOWN, PA 18103-5956
(484) 353-8480
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW139708
PA
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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