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1578838165
SHELLY MANGOLD
RIVERSIDE, CA
NPI
1578838165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-03-14
Last Update Date
2019-04-11
Business Address
SHELLY MANGOLD CADC II
3525 PRESLEY AVE
RIVERSIDE, CA 92507-4453
Phone number: 951-941-9672
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Mailing Address
SHELLY MANGOLD CADC II
3525 PRESLEY AVE
RIVERSIDE, CA 92507-4453
Phone number: 951-955-1454
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