Elyce Darcell Mandich, MSW, LCSW, PPSC
Social Worker, Clinical in Temecula, CA. Individual provider (NPI-1).
NPI number1013530229
StatusActive
Last updated in NPPESMay 21, 2020
Details
- NPI
- 1013530229
- Entity type
- Individual (NPI-1)
- Name
- Elyce Darcell Mandich
- Credential
- MSW, LCSW, PPSC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 21, 2020
- Certification date
- May 21, 2020
- Last updated
- May 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 831141 | CA | Yes |
Other names
- Elyce Darcell Maxwell (Former Name)
Practice location
27215 Nicolas RdTemecula, CA 92591-7348
Phone 951-401-0533
Mailing address
31350 Rancho Vista RdTemecula, CA 92592-6200
Phone 951-401-0533
Other practice locations
31350 Rancho Vista Rd
Temecula, CA 92592-6200
Temecula, CA 92592-6200
Phone 951-401-0533
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