NICHOLAS ANTHONY PAYTON-MORTALONI

SAN DIEGO, CA
NPI1477848182
Former NameNICK ANTHONY MORTALONI
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  26476)
Enumeration Date2011-06-10
Last Update Date2014-06-17
Business Address
-- NICHOLAS ANTHONY PAYTON-MORTALONI LCSW
3255 WING ST SAN DIEGO YOUTH SERVICES
SAN DIEGO, CA 92110-4638
Phone number: 619-221-8600
Mailing Address
-- NICHOLAS ANTHONY PAYTON-MORTALONI LCSW
3255 WING ST SAN DIEGO YOUTH SERVICES
SAN DIEGO, CA 92110-4638
Phone number: 619-221-8600