Provider Information for 1801085998
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Mrs. KIMBERLY ANN CARDOZO LCSW
Sex: Female
NPI: 1801085998
Last Updated: 2007-10-15
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1801085998 | ||||||||
| Enumeration Date | 2007-10-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 417 S NEWTON ST COVINA, CA 91723-3221 United States Phone: 626-966-5820 | Fax: | ||||||||
| Primary Practice Address | 1274 CENTER COURT DR SUITE 112 COVINA, CA 91724-3668 United States Phone: 626-915-1681 | Fax:626-915-6503 | ||||||||
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