Provider Information for 1881720753
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KATHRYN VIRGINIA MCGUIRE LCSW
Other Names:Former Name:KATY SNODGRASSSex: Female
NPI: 1881720753
Last Updated: 2020-04-02
Certification Date: 2020-04-02
Certification Date: 2020-04-02
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1881720753 | ||||||||||||
| Enumeration Date | 2007-02-26 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 10747 CEDAR BROOK LN HIGHLANDS RANCH, CO 80126-7527 United States Phone: 310-686-7976 | Fax: | ||||||||||||
| Primary Practice Address | 815 N EL CENTRO AVE LOS ANGELES, CA 90038-3805 United States Phone: 323-463-2119 | Fax:323-463-6102 | ||||||||||||
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