Individual
ANDREA G. MANCILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-8387
Mailing address
1555 N. SANDBURG TERR., APT. 514, CHICAGO, IL 60610-6323
(312) 569-8387
(312) 569-6130
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
09/19/2006
Last updated
07/08/2007
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