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Organization
PAUL MICHAEL MASTROFRANCESCO, LICENSED CLINICAL SOCIAL WORKER PC
Active
Organization
PAUL MICHAEL MASTROFRANCESCO, LICENSED CLINICAL SOCIAL WORKER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MICHAEL MASTROFRANCESCO LCSW (OWNER/CONSULTANT)
(424) 291-2219
Entity
Organization
Contact information
Practice address
11301 W OLYMPIC BLVD # 121-303, LOS ANGELES, CA 90064-1653
(424) 291-2219
Mailing address
1851 COMSTOCK AVE # B, LOS ANGELES, CA 90025-5014
(424) 291-2219
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285100982
PAUL MICHAEL MASTROFRANCESCO
MO
Enumeration date
05/10/2023
Last updated
05/10/2023
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