Manda Selva, Licensed Clinical Social Worker, Inc

Specialty details in registry · El Sobrante, CA

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At a glance

631 La Paloma Rd, El Sobrante, CA 94803-1735

NPPES record updated May 28, 2024. Public records can lag behind changes at a practice.

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Practice location

631 La Paloma Rd
El Sobrante, CA 94803-1735

Additional reported practice locations

2646 Appian Way Ste 12
Pinole, CA 945642243
Phone: 5102309565

Professional details: NPI, taxonomy & registry record

NPI1356124234

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QM0801X
Enumeration date: Aug 15, 2023
Record updated: May 28, 2024

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X

Specialty details in registry

261QM0801X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

631 La Paloma Rd
El Sobrante, CA 94803-1735

Phone: (510) 230-9565

Mailing address

2646 APPIAN WAY

PINOLE, CA 945642242

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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