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1710023106
ANDREW CARL MANGRUM
DICKSON, TN
NPI
1710023106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
ANDREW CARL MANGRUM M.DIV.
209 HENSLEE DR
DICKSON, TN 37055-2089
Phone number: 615-446-7650
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Mailing Address
ANDREW CARL MANGRUM M.DIV.
116B REEP RD
DICKSON, TN 37055-9103
Phone number:
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