Individual
CONSUELA OLIVIA MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
700 MASSACHUSETTS AVE, CAMBRIDGE, MA 02139-3345
(888) 500-2067
Mailing address
27 PAUL GORE ST APT 1, BOSTON, MA 02130-1838
(617) 504-9037
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
128300
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/07/2020
Last updated
04/22/2026
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