Organization
MICHAEL MANCILLA LICSW
Active
Other names
Pride Therapy DC, Michael Mancilla LICSW, Michael Mancilla LICSW
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A MANCILLA LICSW (THERAPIST/OWNER)
(202) 234-2299
Entity
Organization
Contact information
Practice address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(202) 234-2299
Mailing address
437 NEW YORK AVE NW APT 211, WASHINGTON, DC 20001-4746
(202) 234-2299
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/05/2020
Last updated
01/05/2020
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