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Individual
DR. MARIAN E DALE
Active
Individual
DR. MARIAN E DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
18257
CA
3104A0625X
Assisted Living Facility (Mental Illness)
18257
CA
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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