Provider Information for 1427478643
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HEATHER MANGOLD LPC
Sex: Female
NPI: 1427478643
Last Updated: 2014-04-27
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1427478643 | ||||||||
| Enumeration Date | 2014-04-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 8931 HURON ST THORNTON, CO 80260-6806 United States Phone: 303-853-3500 | Fax: | ||||||||
| Primary Practice Address | 8931 HURON ST THORNTON, CO 80260-6806 United States Phone: 303-853-3500 | Fax: | ||||||||
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