Individual
GEORGIA S MANGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 EDGEWATER AVE APT G, FORT WAYNE, IN 46805-4372
(260) 494-7641
Mailing address
825 EDGEWATER AVE APT G, FORT WAYNE, IN 46805-4372
(260) 494-7641
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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