Individual
CAROLYN COLLINS MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 BREA CYN CUT OFF RD, WALNUT, CA 91789-3401
(909) 598-3744
Mailing address
1022 OAK CANYON LN, GLENDORA, CA 91741-2256
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15152
CA
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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