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1013804111
RAQUEL MANCILLA
WILMINGTON, CA
NPI
1013804111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1579870924)
Enumeration Date
2025-06-20
Last Update Date
2025-06-20
Business Address
RAQUEL MANCILLA
117 E HARRY BRIDGES BLVD
WILMINGTON, CA 90744-5825
Phone number: 310-549-8383
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Mailing Address
RAQUEL MANCILLA
717 HAWAIIAN AVE
WILMINGTON, CA 90744-4923
Phone number: 424-224-6322
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