Individual
LELAND MANGRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3556 SANCTUARY DR, SAINT CLOUD, FL 34769-7122
(478) 672-8343
Mailing address
3556 SANCTUARY DR, SAINT CLOUD, FL 34769-7122
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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