Individual provider · Type 1 NPI
Samantha Mangrum
Professional Counselor · Union, MO
NPI number
1275052003
Active
Practice location
411 E Locust St
Union, MO 63084-1865
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2017009255 (MO) |
Professional Counselor: Definition to come...
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About NPI 1275052003
Samantha Mangrum's National Provider Identifier is 1275052003, issued on Sep 13, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Union, MO. The record was last updated on Sep 13, 2017.