Individual
MS. LORRAINE CATHERINE MANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1868 KNOWLTON ST, SIERRA VISTA, AZ 85635-1463
(520) 439-9557
Mailing address
1868 KNOWLTON ST, SIERRA VISTA, AZ 85635-1463
(520) 439-9557
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5191
AZ
Other
Enumeration date
12/14/2008
Last updated
12/14/2008
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