NPI 1003435553
Savannah Mangrum
Practice location
- Address
- 2138 Fawns Creek Xing, Mt Juliet, TN 37122-1207
- Phone
- (615) 866-8922
- Mailing address
- 306 N Kensington Ave, La Grange Park, IL 60526-1870
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003435553
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Apr 2020
- Record last updated
- 14 Apr 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.