Jeanmarie Mangindin, LICSW
Social Worker, Clinical in San Diego, CA. Individual provider (NPI-1).
NPI number1982808283
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1982808283
- Entity type
- Individual (NPI-1)
- Name
- Jeanmarie Mangindin
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LC3000795 | DC | Yes |
Practice location
46141 Miramar Way Ste 1San Diego, CA 92145-5401
Phone 858-577-7079
Mailing address
46141 Miramar Way Ste 1Po Box 452135
San Diego, CA 92145-5401
Phone 858-577-7079
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