Tanya Marie Mangum is a Clinical in Turlock, California. Tanya Marie Mangum practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tanya Marie Mangum is 1154455822. The last update date is 2007-07-08.
Tanya Marie Mangum's current location address is 2101 Geer Rd, Turlock, California. You can contact this provider via phone number 2096648044 and fax number 2096648036. The mailing address for Tanya Marie Mangum is 2101 Geer Rd, Turlock, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tanya Marie Mangum |
|---|---|
| Address | 2101 Geer Rd, Turlock, California |
| Phone Number | 2096648044 |
| Fax Number | 2096648036 |
| Sole Proprietor | N |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1154455822 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2101 Geer Rd |
|---|---|
| City | Turlock |
| State | California (CA) |
| Post Code | 953822454 |
| Phone Number | 2096648044 |
| Fax Number | 2096648036 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 20945 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique provider identifier assigned to Tanya Marie Mangum?
The Tanya Marie Mangum has been issued the NPI (National Provider Identifier) 1154455822 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Tanya Marie Mangum's facilities are geographically located?
The facilities of Tanya Marie Mangum are physically situated at the following location: 2101 Geer Rd, Turlock, CA, 953822454.
What is Tanya Marie Mangum's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tanya Marie Mangum is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When did the Tanya Marie Mangum receive its 1154455822?
The Tanya Marie Mangum was issued its 1154455822 on 2007-03-15, which is the date when the organization was assigned this unique identifier.
As of what date were the Tanya Marie Mangum's details last updated?
The information pertaining to the Tanya Marie Mangum, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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