Christina Manguerra, LCSW
Social Worker, Clinical in Modesto, CA. Individual provider (NPI-1).
NPI number1053201293
StatusActive
Last updated in NPPESJul 8, 2025
Details
- NPI
- 1053201293
- Entity type
- Individual (NPI-1)
- Name
- Christina Manguerra
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2025
- Certification date
- Jul 8, 2025
- Last updated
- Jul 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 108598 | CA | Yes |
Practice location
208 W Coolidge AveModesto, CA 95350-4447
Phone 209-722-4842
Mailing address
208 W Coolidge AveModesto, CA 95350-4447
Phone 209-722-4842
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