Provider Information for 1841957685
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Dr. MAUDE NAZAIRE LPCC
Sex: Female
NPI: 1841957685
Last Updated: 2024-10-14
Certification Date: 2024-10-14
Certification Date: 2024-10-14
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1841957685 | ||||||||
| Enumeration Date | 2021-11-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 9431 HAVEN AVE STE 100 RANCHO CUCAMONGA, CA 91730-5879 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 9431 HAVEN AVE STE 100 RANCHO CUCAMONGA, CA 91730-5879 United States Phone: 657-837-2200 | Fax: | ||||||||
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