Individual
WHITNEY PAIGE MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
207 N LIBERTY ST, CENTREVILLE, MD 21617-1189
(410) 758-8750
Mailing address
211 UPPER MILL CT, CENTREVILLE, MD 21617-1813
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22899
MD
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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