Marianne B Mandle PSYD

NPI 1639351224 - Social Worker - 1041C0700X

NPI Details
NPI 1639351224
Gender Female
Enumeration Date 12/05/2007
Last Updated 12/05/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5755 COTTLE RD
SAN JOSE CA, 95123-3640, US
Phone (408) 972-3252
Fax
Business Location
5755 COTTLE RD
SAN JOSE CA, 95123-3640, US
Phone
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number LCS 16542
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According to our database, Marianne B Mandle PSYD NPI is 1639351224, taxonomy code is 1041C0700X and license number is LCS 16542, license state is located at California. Marianne B Mandle PSYD physically located at 5755 Cottle Rd, San Jose CA, 95123-3640. NPI Number Marianne B Mandle PSYD has the Individual type.

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1639351224 NPI number is provided on an as is basis without warranty of any kind. 1639351224 is maintained by the National Plan & Provider Enumeration System. The contents of Marianne B Mandle PSYD are for informational purposes only.