Individual
DAWN MARIE MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
156 ADAMS WAY, SANTA ROSA BEACH, FL 32459-5947
(850) 240-0137
Mailing address
156 ADAMS WAY, SANTA ROSA BEACH, FL 32459-5947
(850) 240-0137
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10262
FL
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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