Sango, Mattie Lee
Sango, Mattie Lee is an sole proprietor health care provider with primary practice located at 1745 Enterprise Dr # Ms 2-230 Bldg. 2, Ste. 2A, Fairfield CA 94533-5801. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sango, Mattie Lee can be contacted via phone (707) 399-4988.Contact Information
Primary practice address
1745 Enterprise Dr # Ms 2-230 Bldg. 2, Ste. 2A
Fairfield CA 94533-5801
Phone: (707) 399-4988
Fax: (707) 399-4999
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 17098 | California |
Profile Details
NPI number | 1285796102 |
---|---|
LBN Legal business name | Sango, Mattie Lee |
Credentials | ASW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 15th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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