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Individual
MARYANNE NONE CORDAHL
Active
Individual
MARYANNE NONE CORDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
21025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21025
LICENSED CLINICAL PSYCHOLOGIST
CA
01
—
51664
NATIONAL REGISTER OF HEALTH SERVICE PROVIDERS IN PSYCHOLOGY
CA
Enumeration date
07/02/2008
Last updated
07/02/2008
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