Provider Information for 1750464426
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Mrs. MARCY DIANE PULLARD LCSW
Sex: Female
NPI: 1750464426
Last Updated: 2021-12-02
Certification Date: 2021-12-02
Certification Date: 2021-12-02
Details
| Name | Value | ||||||||||||||
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| NPI | 1750464426 | ||||||||||||||
| Enumeration Date | 2006-10-24 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | PO BOX 561706 LOS ANGELES, CA 90056-0240 United States Phone: 323-353-3177 | Fax: | ||||||||||||||
| Primary Practice Address | 550 S VERMONT AVE FL 4 LOS ANGELES, CA 90020-1912 United States Phone: 323-353-3177 | Fax: | ||||||||||||||
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