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Organization
MARTHA TO MARY PC
Active
Organization
MARTHA TO MARY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA CALLAWAY (CHIEF EXECUTIVE OFFICER)
(310) 800-9011
Entity
Organization
Contact information
Practice address
1225 W 190TH ST STE 455H, GARDENA, CA 90248-4320
(310) 800-9011
Mailing address
1225 W 190TH ST STE 455H, GARDENA, CA 90248-4320
(310) 800-9011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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