JUSTIN SCOTT MANGUM

PASADENA, CA
NPI1023132123
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
Enumeration Date2007-03-16
Last Update Date2007-07-08
Business Address
-- JUSTIN SCOTT MANGUM
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-254-2274
Mailing Address
-- JUSTIN SCOTT MANGUM
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-254-2274