Provider Demographics
NPI:1619141728
Name:MAFELA-CONLEY, MAPULA MARGARET
Entity Type:Individual
Prefix:MS
First Name:MAPULA
Middle Name:MARGARET
Last Name:MAFELA-CONLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MAPULA
Other - Middle Name:MARGARET
Other - Last Name:MAFE;A
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:372 FLORIN RD # 142
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-1407
Mailing Address - Country:US
Mailing Address - Phone:916-410-3027
Mailing Address - Fax:916-421-5512
Practice Address - Street 1:372 FLORIN RD # 142
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-1407
Practice Address - Country:US
Practice Address - Phone:916-410-3027
Practice Address - Fax:916-421-5512
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA87431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical