Individual
CAMILLE MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6540 LUSK BLVD STE C200, SAN DIEGO, CA 92121-5792
(619) 330-9500
Mailing address
11208 EAGLES CREEK CT, SAN DIEGO, CA 92128-4084
(858) 945-8782
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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