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1396009262
SHELLEY F MANGUM
WEST JORDAN, UT
NPI
1396009262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 5828209-6004)
Enumeration Date
2012-06-26
Last Update Date
2014-02-10
Business Address
-- SHELLEY F MANGUM CMHC
9263 S REDWOOD RD
WEST JORDAN, UT 84088-6571
Phone number: 801-566-0749
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Mailing Address
-- SHELLEY F MANGUM CMHC
510 E 9800 S
SANDY, UT 84070-3546
Phone number: 801-793-0620
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