Provider Information for 1508351800
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KATY CASLAV MSW
Sex: Female
NPI: 1508351800
Last Updated: 2024-06-05
Certification Date: 2024-06-05
Certification Date: 2024-06-05
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1508351800 | ||||||||||||
| Enumeration Date | 2018-06-28 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 10640 COLIMA RD APT 111 WHITTIER, CA 90604-4676 United States Phone: 951-719-7969 | Fax: | ||||||||||||
| Primary Practice Address | 2650 E FOOTHILL BLVD PASADENA, CA 91107 United States Phone: 626-577-2261 | Fax: | ||||||||||||
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