MATTIE LEE SANGO

FAIRFIELD, CA
NPI1285796102
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  17098)
Enumeration Date2006-12-15
Last Update Date2007-07-08
Business Address
-- MATTIE LEE SANGO ASW
1745 ENTERPRISE DR # MS 2-230 BLDG. 2, STE. 2A
FAIRFIELD, CA 94533-5801
Phone number: 707-399-4988
Mailing Address
-- MATTIE LEE SANGO ASW
275 BECK AVE MD5-200
FAIRFIELD, CA 94533-6804
Phone number: 707-399-4988
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