Provider Information for 1407073950
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MARY KILLEAN ZAYANI LCSW
Other Names:Former Name:MARY BRIDGET KILLEAN MSWSex: Female
NPI: 1407073950
Last Updated: 2013-01-18
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1407073950 | ||||||||||||
| Enumeration Date | 2007-04-19 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 323 N PRAIRIE AVE SUITE 350 INGLEWOOD, CA 90301-4502 United States Phone: 310-846-2100 | Fax:310-677-7205 | ||||||||||||
| Primary Practice Address | 323 N PRAIRIE AVE SUITE 350 INGLEWOOD, CA 90301-4502 United States Phone: 310-846-2100 | Fax:310-677-7205 | ||||||||||||
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