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1154455822
TANYA MARIE MANGUM
TURLOCK, CA
NPI
1154455822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 20945)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
Mrs. TANYA MARIE MANGUM L.C.S.W.
2101 GEER RD STE. 120
TURLOCK, CA 95382-2454
Phone number: 209-664-8044
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Mailing Address
Mrs. TANYA MARIE MANGUM L.C.S.W.
2101 GEER RD STE. 120
TURLOCK, CA 95382-2454
Phone number: 209-664-8044
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