ANGELA NICOLE MANGUM

O FALLON, IL
NPI1821598293
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: IL  M52501485731)
Enumeration Date2018-02-13
Last Update Date2018-02-13
Business Address
ANGELA NICOLE MANGUM
634 N MAIN ST STE 4
O FALLON, IL 62269-3746
Phone number: 618-726-5870
Mailing Address
ANGELA NICOLE MANGUM
21600 OXNARD ST # ARE1800
WOODLAND HILLS, CA 91367-4976
Phone number: 818-345-2345