Mangum, Tanya Marie

Mangum, Tanya Marie is an individual health care provider with primary practice located at 2101 Geer Rd Ste. 120, Turlock CA 95382-2454. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mangum, Tanya Marie can be contacted via phone (209) 664-8044.

Contact Information

Primary practice address
2101 Geer Rd Ste. 120 Turlock CA 95382-2454
Phone: (209) 664-8044
Fax: (209) 664-8036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 20945 California

Profile Details

NPI number 1154455822
LBN Legal business name Mangum, Tanya Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Jul 8th, 2007 - about 17 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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