BENETRA MANGUM-JOHNSON

JACKSON, MS
NPI1528610326
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MS  C7180)
Enumeration Date2019-07-11
Last Update Date2019-07-11
Business Address
Dr. BENETRA MANGUM-JOHNSON PhD, LCSW
2500 N. STATE ST. DEPT. OF PSYCHIATRY AND HUMAN BEHAVIOR (H808)
JACKSON, MS 39216
Phone number: 601-815-6337
Mailing Address
Dr. BENETRA MANGUM-JOHNSON PhD, LCSW
2500 NORTH STATE STREET CBO - SUITE 4200
JACKSON, MS 39216-4500
Phone number: 601-496-9794
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