Individual
ANGELA DAWN MANGRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
103 NE 1ST ST, CHIEFLAND, FL 32626-0920
(352) 439-0069
Mailing address
9366 GREENWAYS LN, FANNING SPRINGS, FL 32693-7684
(352) 221-4790
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
01/18/2024
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