JADE MANGUS

WEST JORDAN, UT
NPI1710006770
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  4995763-3502)
Enumeration Date2007-03-28
Last Update Date2007-07-08
Business Address
-- JADE MANGUS CSW
7992 S 7110 W
WEST JORDAN, UT 84088-5094
Phone number: 801-252-7036
Mailing Address
-- JADE MANGUS CSW
7992 S 7110 W
WEST JORDAN, UT 84088-5094
Phone number: 801-252-7036
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