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Contact Information

JENNEE J MANGUM, SSW
45 E. 100 S.
CASTLE DALE, UT84513
 Phone: 435-371-2432
 Fax: 435-371-2542
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for JENNEE J MANGUM · (Female)

NPI Number 1144627092
Status Active
Credentials SSW
Entity Individual
Enumeration date 11/20/2014
Last updated 11/20/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 9121934-3503
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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