Michael Mancilla Licsw | |
1629 K St Nw Ste 300 Washington DC 20006-1631 | |
(202) 234-2299 | |
Not Available |
Full Name | Michael Mancilla Licsw |
---|---|
Speciality | Social Worker - Clinical |
Location | 1629 K St Nw Ste 300, Washington, District Of Columbia |
Authorized Official Name and Position | Michael A Mancilla (THERAPIST/OWNER) |
Authorized Official Contact | 2022342299 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Michael Mancilla Licsw 437 New York Ave Nw Apt 211 Washington DC 20001-4746 Ph: (202) 234-2299 | Michael Mancilla Licsw 1629 K St Nw Ste 300 Washington DC 20006-1631 Ph: (202) 234-2299 |
NPI Number | 1295374478 |
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Provider Enumeration Date | 01/05/2020 |
Last Update Date | 01/05/2020 |
Certification Date | 01/05/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295374478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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