Individual
MRS. LAUREN A. MANGRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
3636 BYRON CIR, FREDERICK, MD 21704-7834
(240) 586-9961
Mailing address
3636 BYRON CIR, FREDERICK, MD 21704-7834
(240) 586-9961
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04977
MD
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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