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Organization
DR. JORDANA MANSBACHER, LCND CLIN SCL WORKER A PROFESSIONAL CORP
Active
Organization
DR. JORDANA MANSBACHER, LCND CLIN SCL WORKER A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDANA MANSBACHER PSY.D, LCSW (OWNER/PRACTITIONER)
(310) 301-9121
Entity
Organization
Contact information
Practice address
5519 S CENTINELA AVE, SUITE 105, LOS ANGELES, CA 90066-6945
(310) 301-9121
(310) 390-8578
Mailing address
5519 S CENTINELA AVE, SUITE 105, LOS ANGELES, CA 90066-6945
(310) 301-9121
(310) 390-8578
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS21516
CA
Other
Enumeration date
08/28/2012
Last updated
10/01/2012
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