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Organization
MAIRIN WEINER LICENSED CLINICAL SOCIAL WORKER
Active
Organization
MAIRIN WEINER LICENSED CLINICAL SOCIAL WORKER
Active
Other names
Middle Path Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MAIRIN WEINER LCSW (OWNER)
(415) 312-5454
Entity
Organization
Contact information
Practice address
676 CHENERY ST, SAN FRANCISCO, CA 94131-3034
(415) 312-5454
Mailing address
676 CHENERY ST, SAN FRANCISCO, CA 94131-3034
(415) 312-5454
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487869079
—
CA
Enumeration date
08/05/2022
Last updated
12/28/2022
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