Mangus, Jade

Mangus, Jade is an sole proprietor health care provider with primary practice located at 7992 S 7110 W , West Jordan UT 84088-5094. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mangus, Jade can be contacted via phone (801) 252-7036.

Contact Information

Primary practice address
7992 S 7110 W West Jordan UT 84088-5094
Phone: (801) 252-7036
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4995763-3502 Utah

Profile Details

NPI number 1710006770
LBN Legal business name Mangus, Jade
Credentials Certified Social Worker (CSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 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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