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Individual
SANDRA PAZ
Active
Individual
SANDRA PAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CP
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014579
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02127920
—
NY
01
—
458551
VALUE OPTIONS
NY
Enumeration date
05/14/2007
Last updated
09/23/2008
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