Provider Information for 1457050270
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MARIA CABALLERO LPC
Sex: Female
NPI: 1457050270
Last Updated: 2023-03-01
Certification Date: 2023-03-01
Certification Date: 2023-03-01
Details
Name | Value | ||||||||
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NPI | 1457050270 | ||||||||
Enumeration Date | 2023-03-01 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 12668 DULCINEA PL WOODBRIDGE, VA 22192-3148 United States Phone: 571-217-2605 | Fax: | ||||||||
Primary Practice Address | 12668 DULCINEA PL WOODBRIDGE, VA 22192-3148 United States Phone: 571-217-2605 | Fax: | ||||||||
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