Individual
MAGGIE MANGRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 ALDFORD DR, AUSTIN, TX 78745-4822
(917) 628-4761
Mailing address
75 FOUNTAIN ST, PROVIDENCE, RI 02902-0050
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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