Provider Information for 1285419408
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MARIE STEPHANIE MOHAPP LCSW
Sex: Female
NPI: 1285419408
Last Updated: 2023-08-28
Certification Date: 2023-08-27
Certification Date: 2023-08-27
Details
| Name | Value | ||||||||
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| NPI | 1285419408 | ||||||||
| Enumeration Date | 2023-08-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 709 SANTA MARGARITA, CA 93453-0709 United States Phone: 530-301-2300 | Fax: | ||||||||
| Primary Practice Address | 11215 ELIANO ST ATASCADERO, CA 93422-6158 United States Phone: 530-301-2300 | Fax: | ||||||||
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