Provider Information for 1518123215
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GALINA TROFIMOVNA STOROZHENKO LCSW, MSW
Sex: Female
NPI: 1518123215
Last Updated: 2024-09-11
Certification Date: 2024-09-11
Certification Date: 2024-09-11
Details
Name | Value | ||||||||
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NPI | 1518123215 | ||||||||
Enumeration Date | 2008-08-01 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 330 MOSS ST CHULA VISTA, CA 91911-2005 United States Phone: 619-585-4221 | Fax: | ||||||||
Primary Practice Address | 11230 SORRENTO VALLEY RD STE 220 SAN DIEGO, CA 92121-1300 United States Phone: 858-648-5367 | Fax: | ||||||||
Secondary Practice Address(es) | 5700 COWLES MOUNTAIN BLVD # I-204 | ||||||||
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