Individual
MR. MICHAEL MANCILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
437 NEW YORK AVE NW, # 211, WASHINGTON, DC 20001-4743
(202) 234-2299
Mailing address
437 NEW YORK AVE NW, # 211, WASHINGTON, DC 20001-4743
(202) 234-2299
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC320318
DC
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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