Individual
MISS SANDRA LOUIS MANGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAMFT
Contact information
Practice address
9075 QUADAY AVE NE, SUITE 102, OTSEGO, MN 55330-6672
(763) 746-9492
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MA
MN
Other
Enumeration date
12/01/2006
Last updated
01/13/2009
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