Provider Information for 1669707600
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OKAIRY MICAELA RODRIGUEZ LCSW
Sex: Female
NPI: 1669707600
Last Updated: 2014-08-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1669707600 | ||||||||
| Enumeration Date | 2009-10-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 940 AVENUE 64 PASADENA, CA 91105 United States Phone: 323-254-2274 | Fax:323-254-9087 | ||||||||
| Primary Practice Address | 940 AVENUE 64 PASADENA, CA 91105 United States Phone: 323-254-2274 | Fax:323-254-9087 | ||||||||
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