OMAR MANGRUM, EDD

EDD

Psychologist

NPI: 1457389157Individual

Specialties, Licenses & Credentials

PsychologistPrimary

Psychologist

Code: 103T00000X

6301005399(MI)

Contact & Hours

Address: 161 OTTAWA AVE NW, SUITE 300C
GRAND RAPIDS, MI 49503
Phone: (616) 458-0692

Quick Facts

NPI: 1457389157
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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