Individual
GLENDA MANCILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
470 W BROAD ST # 1148, COLUMBUS, OH 43215-2759
(614) 542-7463
Mailing address
470 W BROAD ST # 1148, COLUMBUS, OH 43215-2759
(614) 542-7463
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2310151
OH
Other
Enumeration date
11/27/2023
Last updated
02/07/2024
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