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1003933904
SELMA C MANGRUM
SAN MATEO, CA
NPI
1003933904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS15263)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
-- SELMA C MANGRUM
222 PAUL SCANNELL DR
SAN MATEO, CA 94402
Phone number: 650-312-5234
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Mailing Address
-- SELMA C MANGRUM
222 PAUL SCANNELL DR
SAN MATEO, CA 94402
Phone number: 650-312-5234
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