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1891786323
ALICE JEAN MANG
WRIGHT PATTERSON AFB, OH
NPI
1891786323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I-0004396)
Enumeration Date
2005-11-03
Last Update Date
2007-07-08
Business Address
Mrs. ALICE JEAN MANG LISW
4881 SUGAR MAPLE DR 88MDG/SGHJ
WRIGHT PATTERSON AFB, OH 45433-5546
Phone number: 937-257-1368
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Mailing Address
Mrs. ALICE JEAN MANG LISW
2345 SHERWOOD CT
XENIA, OH 45385-9103
Phone number: 937-374-3566
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