Organization
ALYSSA MARIE WELLNESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA MANCAO LCSW (LCSW/ CEO)
(909) 461-0408
Entity
Organization
Contact information
Practice address
15300 VENTURA BLVD STE 509, SHERMAN OAKS, CA 91403-5812
(909) 461-0408
Mailing address
15300 VENTURA BLVD STE 509, SHERMAN OAKS, CA 91403-5812
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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