| Manifesting Me Wellness A Licensed Clinical Social Worker Corporation | |
|
2930 W Imperial Hwy Inglewood CA 90303-3143 | |
| (424) 888-0447 | |
| Not Available |
| Full Name | Manifesting Me Wellness A Licensed Clinical Social Worker Corporation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2930 W Imperial Hwy, Inglewood, California |
| Authorized Official Name and Position | Katrina Long (FOUNDER) |
| Authorized Official Contact | 4248880447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manifesting Me Wellness A Licensed Clinical Social Worker Corporation Po Box 90302 Los Angeles CA 90009-0302 Ph: () - | Manifesting Me Wellness A Licensed Clinical Social Worker Corporation 2930 W Imperial Hwy Inglewood CA 90303-3143 Ph: (424) 888-0447 |
| NPI Number | 1811568363 |
|---|---|
| Provider Enumeration Date | 07/06/2021 |
| Last Update Date | 07/06/2021 |
| Certification Date | 07/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811568363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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