Individual provider · Type 1 NPI

Laura Katherine Mangrum

Student in an Organized Health Care Education/Training Program · Kennett Square, PA

NPI number 1609258342 Active

Practice location

101 E State St
Kennett Square, PA 19348-3109

Call (256) 381-4330 Map

Mailing address

316 Estella Ct
Florence, AL 35630-2874

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609258342

Laura Katherine Mangrum's National Provider Identifier is 1609258342, issued on Jun 18, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kennett Square, PA. The record was last updated on Jun 18, 2015.