RITA S MANGUM

SALT LAKE CITY, UT
NPI1700952892
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  361835-3501)
Enumeration Date2006-11-28
Last Update Date2007-07-08
Business Address
-- RITA S MANGUM L.C.S.W.
525 E 4500 S SUITE F200
SALT LAKE CITY, UT 84107-2995
Phone number: 801-599-4254
Mailing Address
-- RITA S MANGUM L.C.S.W.
1715 ZENITH AVE
SALT LAKE CITY, UT 84106-3748
Phone number: 801-599-4254
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