Organization
PAUL MICHAEL MASTROFRANCESCO, LICENSED CLINICAL SOCIAL WORKER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MICHAEL MASTROFRANCESCO LCSW (OWNER/CONSULTANT)
(424) 291-2219
Entity
Organization
Contact information
Practice address
11301 W OLYMPIC BLVD # 121-303, LOS ANGELES, CA 90064-1653
(424) 291-2219
Mailing address
1851 COMSTOCK AVE # B, LOS ANGELES, CA 90025-5014
(424) 291-2219
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285100982
PAUL MICHAEL MASTROFRANCESCO
MO
Enumeration date
05/10/2023
Last updated
05/10/2023
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