SHANAIL ANNETTE MANGRUM

CLARKSVILLE, TN
NPI1154852168
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: TN  RBT-15-10015)
Enumeration Date2017-03-22
Last Update Date2017-03-22
Business Address
SHANAIL ANNETTE MANGRUM 12/18/2015
1250 PARKWAY PL APT F
CLARKSVILLE, TN 37042-8479
Phone number: 907-347-0286
Mailing Address
SHANAIL ANNETTE MANGRUM 12/18/2015
1250 PARKWAY PL APT F
CLARKSVILLE, TN 37042-8479
Phone number: 907-347-0286
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