Individual
MISS SANDRA MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3443 W SHAW AVE, SULLIVAN CENTER FOR CHILDREN, FRESNO, CA 93711-3249
(559) 271-1176
Mailing address
3443 W SHAW AVE, SULLIVAN CENTER FOR CHILDREN, FRESNO, CA 93711-3249
(559) 271-1176
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSB 35440
CA
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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