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1164894929
MICHAEL MANCILLA
WASHINGTON, DC
NPI
1164894929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: DC LC320318)
Enumeration Date
2015-10-20
Last Update Date
2015-10-20
Business Address
Mr. MICHAEL MANCILLA LICSW
437 NEW YORK AVE NW # 211
WASHINGTON, DC 20001-4743
Phone number: 202-234-2299
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Mailing Address
Mr. MICHAEL MANCILLA LICSW
437 NEW YORK AVE NW # 211
WASHINGTON, DC 20001-4743
Phone number: 202-234-2299
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