Individual
BRANDY SHAVON MAYS-CANCINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
31772 CASINO DR STE B, LAKE ELSINORE, CA 92530-4502
(951) 459-6227
Mailing address
29965 BERRYESSA DR, SUN CITY, CA 92585-3510
(805) 377-1951
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
103573
CA
1041C0700X
Clinical Social Worker
Primary
126644
CA
Other
Enumeration date
07/10/2014
Last updated
11/13/2024
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