LYDIA MARIA MANCILLA

TIGARD, OR
NPI1275198376
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2019-05-03
Last Update Date2019-12-14
Business Address
LYDIA MARIA MANCILLA
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
Mailing Address
LYDIA MARIA MANCILLA
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
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