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1730954322
MARY S MANGUM
CORAM, NY
NPI
1730954322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 111491-01)
Enumeration Date
2023-11-24
Last Update Date
2023-11-24
Business Address
Mrs. MARY S MANGUM
21 CHESAPEAKE BAY RD
CORAM, NY 11727-2004
Phone number: 917-470-7932
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Mailing Address
Mrs. MARY S MANGUM
21 CHESAPEAKE BAY RD
CORAM, NY 11727-2004
Phone number: 917-470-7932
Copy
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