Organization
LIGHT OF HOPE, LLC
Active
Other names
Leah Mangis
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH MANGIS LCSW (OWNER/LICENSED CLINICAL SOCIAL WORK)
(503) 489-4747
Entity
Organization
Contact information
Practice address
960 BROADWAY ST NE STE 3, SALEM, OR 97301-1275
(503) 489-4747
(503) 489-9557
Mailing address
960 BROADWAY ST NE STE 3, SALEM, OR 97301-1275
(503) 489-4747
(503) 489-9557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500708513
—
OR
Enumeration date
03/16/2020
Last updated
03/16/2020
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