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1770299000
JENNA RAE MANGUM
KNOXVILLE, TN
NPI
1770299000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2023-01-30
Last Update Date
2023-05-31
Business Address
JENNA RAE MANGUM
3006 LAKE BROOK BLVD
KNOXVILLE, TN 37909-1137
Phone number: 865-637-9711
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Mailing Address
JENNA RAE MANGUM
200 TECH CENTER DR
KNOXVILLE, TN 37912-2747
Phone number: 865-637-9711
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