Provider Information for 1508045220
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AMY CASSOFF TORN MFT
Sex: Female
NPI: 1508045220
Last Updated: 2007-10-30
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1508045220 | ||||||||
| Enumeration Date | 2007-10-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4550 KEARNY VILLA RD SUITE 116 SAN DIEGO, CA 92123-1578 United States Phone: 858-279-1223 | Fax:619-516-4757 | ||||||||
| Primary Practice Address | 180 OTAY LAKES RD SUITE #110 BONITA, CA 91902-2443 United States Phone: 858-279-1223 | Fax:619-516-4757 | ||||||||
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