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Individual

DANIEL MANGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2325 CLEMENT ST, ALAMEDA, CA 94121-1919
(510) 629-6300
Mailing address
PO BOX 15754, SAN FRANCISCO, CA 94115-0754

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
97662
CA

Other

Enumeration date
11/17/2020
Last updated
11/17/2020
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