Jade Mangus in West Jordan - Clinical

Jade Mangus - NPI 1710006770

Jade Mangus is a Clinical in West Jordan, Utah. Jade Mangus practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jade Mangus is 1710006770. The last update date is 2007-07-08.

Jade Mangus's current location address is 7992 S 7110 W, West Jordan, Utah. You can contact this provider via phone number 8012527036. The mailing address for Jade Mangus is 7992 S 7110 W, West Jordan, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Jade Mangus
Address 7992 S 7110 W, West Jordan, Utah
Phone Number 8012527036
Fax Number
Sole Proprietor Y
Credentials CSW

NPI Number Detail

NPI Number 1710006770
Provider Enumeration Date 2007-03-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7992 S 7110 W
City West Jordan
State Utah (UT)
Post Code 840885094
Phone Number 8012527036
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 4995763-3502
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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FAQs about Jade Mangus

What is the Jade Mangus's 1710006770?

The Jade Mangus's NPI (National Provider Identifier) Number is 1710006770. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jade Mangus is located?

The Jade Mangus is situated at the following address: 7992 S 7110 W, West Jordan, UT, 840885094.

What is Jade Mangus's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jade Mangus is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

On what date was the 1710006770 assigned to Jade Mangus?

The Jade Mangus was issued its 1710006770 on 2007-03-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Jade Mangus's information last updated?

The Jade Mangus's information was last updated on 2007-07-08.

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