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Individual
MARICELA A SOTO
Active
Individual
MARICELA A SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
71006953
IL
103TC0700X
Clinical Psychologist
Primary
19456
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71006953
PSYCHOLOGIST LISCENSE
IL
Enumeration date
08/12/2006
Last updated
11/15/2019
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