Individual
DIANE SUE MANGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
824 FLINDT DR, SUITE 103, STORM LAKE, IA 50588-3208
(712) 732-3736
(712) 732-3275
Mailing address
201 E 11TH ST, SPENCER, IA 51301-4436
(712) 262-2922
(712) 262-3826
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06199
IA
Other
Enumeration date
05/08/2006
Last updated
07/21/2008
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