Provider Information for 1124234208
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NATHALIE CONTRO LMFT
Sex: Female
NPI: 1124234208
Last Updated: 2022-03-22
Certification Date: 2022-03-22
Certification Date: 2022-03-22
Details
Name | Value | ||||||||||||
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NPI | 1124234208 | ||||||||||||
Enumeration Date | 2007-05-15 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 425 WASHINGTON AVE APT 10 SANTA MONICA, CA 90403-3844 United States Phone: 424-382-6630 | Fax: | ||||||||||||
Primary Practice Address | 425 WASHINGTON AVE APT 10 SANTA MONICA, CA 90403-3844 United States Phone: 424-382-6630 | Fax: | ||||||||||||
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