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Individual

DR. MARILYN MAXINE SOSNA

Active
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Individual

DR. MARILYN MAXINE SOSNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
A26143
CA
2084P0800X
Psychiatry Physician
Primary
A26143
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A26143
STATE LICENSE
CA
Enumeration date
05/18/2006
Last updated
06/28/2012
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