Individual
AUSTIN BANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
511 8TH ST, CLARKSVILLE, TN 37040-3093
(931) 920-7200
Mailing address
2191 MEMORIAL DR APT B16, CLARKSVILLE, TN 37043-4407
(980) 925-9363
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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