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Individual
NICHOLE LYNN MOGHARREBAN
Active
Individual
NICHOLE LYNN MOGHARREBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY30199
CA
103TC0700X
Clinical Psychologist
Primary
PSY30199
CA
103TC0700X
Clinical Psychologist
PY60446879
WA
173F00000X
Sleep Specialist (PhD)
PSY30199
CA
Other
Enumeration date
06/22/2012
Last updated
04/29/2024
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