Michael Mangan
Michael Mangan is a Clinical Social Worker in Provo, Utah. Licensed in Utah. Registered with an NPI since 2021.
- Licensed in
- UT
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1165 E 300 NProvo, UT 84606-3539
Phone: (801) 373-4760
Fax: (801) 373-0639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 284431-3502 (UT) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 284431-3506 (UT) |
Record details
| NPI number | 1821669912 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 8, 2021 |
| Last updated in NPPES | May 26, 2023 |
| Certification date | May 26, 2023 |
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