Individual
ANDREW CARL MANGRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.DIV.
Contact information
Practice address
209 HENSLEE DR, DICKSON, TN 37055-2089
(615) 446-7650
Mailing address
116B REEP RD, DICKSON, TN 37055-9103
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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