JANINE LINDA MANGRUM

MCALESTER, OK
NPI1124247697
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  175)
Enumeration Date2007-04-24
Last Update Date2007-07-08
Business Address
-- JANINE LINDA MANGRUM M.S., L.A.D.C.
1210 N WEST ST
MCALESTER, OK 74501-2306
Phone number: 918-421-3323
Mailing Address
-- JANINE LINDA MANGRUM M.S., L.A.D.C.
PO BOX 115
SAVANNA, OK 74565-0115
Phone number: 918-548-3326
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