Individual
DAVID MANDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1452 HUGHES RD, GRAPEVINE, TX 76051-7366
(682) 233-4325
Mailing address
602 HEATHER WOOD DR, GRAPEVINE, TX 76051-3348
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103973
TX
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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