DIANE SUE MANGOLD

STORM LAKE, IA
NPI1972552917
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IA  06199)
Enumeration Date2006-05-08
Last Update Date2008-07-21
Business Address
-- DIANE SUE MANGOLD LISW
824 FLINDT DR SUITE 103
STORM LAKE, IA 50588-3208
Phone number: 712-732-3736
Mailing Address
-- DIANE SUE MANGOLD LISW
201 E 11TH ST
SPENCER, IA 51301-4436
Phone number: 712-262-2922
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