Individual
MISS ALYSSA MARIE MANCAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6851 LENNOX AVE, VAN NUYS, CA 91405-4073
(818) 739-5438
Mailing address
6189 ST ALBANS ST, LOS ANGELES, CA 90042-1317
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/04/2010
Last updated
06/07/2013
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