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1669921029
KELLI MANGOLD
AMARILLO, TX
NPI
1669921029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX LCSW-51139)
Enumeration Date
2016-09-27
Last Update Date
2022-03-16
Business Address
KELLI MANGOLD LCSW
2417 HOBBS RD STE 105
AMARILLO, TX 79109-1533
Phone number: 806-471-0334
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Mailing Address
KELLI MANGOLD LCSW
PO BOX 271
CANYON, TX 79015-0271
Phone number: 806-471-0334
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