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Individual

KELLY STAPENHORST MANCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
710 S BROADWAY, WALNUT CREEK, CA 94596-5294
(925) 295-4000
Mailing address
2441 JACKSON ST, SAN FRANCISCO, CA 94115-1324
(415) 346-6380
(415) 346-1058

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
Primary
30114
CA

Other

Enumeration date
09/10/2010
Last updated
02/01/2022
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