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Organization
RADY'S CHILDREN'S HOSPITAL OUTPATIENT PSYCHIATRY SAN DIEGO
Active
Organization
RADY'S CHILDREN'S HOSPITAL OUTPATIENT PSYCHIATRY SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERAV SEGALL MA (SOCIAL WORKER I)
(619) 758-5993
Entity
Organization
Contact information
Practice address
3665 KEARNY VILLA RD, 165, SAN DIEGO, CA 92123-1953
(619) 758-5993
Mailing address
1465 C ST, #3305, SAN DIEGO, CA 92101-5738
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMF 47771
CA
Other
Enumeration date
09/15/2006
Last updated
06/23/2008
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