Individual
LORRAINE S MANGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
ONE BAKER PLACE, MINERAL COUNTY BOARD OF EDUCATION, KEYSER, WV 26726
(304) 298-3632
Mailing address
PO BOX 166, NEW CREEK SCHOOL ROAD, NEW CREEK, WV 26743-0166
(304) 788-4031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0130
WV
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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