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1992356158
EMILY MANGUM
JACKSON, MS
NPI
1992356158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MS S4542)
Enumeration Date
2019-09-27
Last Update Date
2019-10-29
Business Address
EMILY MANGUM CCC-SLP
2046 MEADOWBROOK RD
JACKSON, MS 39211-6527
Phone number: 601-953-7697
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Mailing Address
EMILY MANGUM CCC-SLP
212 SYCAMORE LN
MADISON, MS 39110-7460
Phone number:
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