-- LEA MANGUS -- PCSW, MSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1487002408- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PCSW, MSW
- Status
- Active
Contact & Location
- Address
- 125 S DIVISION ST, POWELL, WY, 824352409
- Phone
- (307) 754-7970
Specialties & Taxonomies
Social Worker, Clinical
Primary License: WY