Mangum, Shelley F

Mangum, Shelley F is an individual health care provider with primary practice located at 9263 S Redwood Rd , West Jordan UT 84088-6571. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mangum, Shelley F can be contacted via phone (801) 566-0749.

Contact Information

Primary practice address
9263 S Redwood Rd West Jordan UT 84088-6571
Fax: (801) 566-7108
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5828209-6004 Utah

Profile Details

NPI number 1396009262
LBN Legal business name Mangum, Shelley F
Credentials CMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2012
Last updated Feb 10th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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