Provider Information for 1821375924
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Mrs. KAREN MARIE EGERTSON M.S., MFT
Sex: Female
NPI: 1821375924
Last Updated: 2019-09-05
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1821375924 | ||||||||
| Enumeration Date | 2011-11-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5284 ADOLFO RD. ASPIRANET CAMARILLO, CA 93012 United States Phone: 805-289-0120 | Fax:805-289-0130 | ||||||||
| Primary Practice Address | 5284 ADOLFO RD. ASPIRANET CAMARILLO, CA 93012 United States Phone: 805-289-0120 | Fax:805-289-0130 | ||||||||
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