Individual
MRS. AZITA MIRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3020 CHILDRENS WAY # MC6013, SAN DIEGO, CA 92123-4223
(619) 420-5611
(619) 420-5531
Mailing address
3020 CHILDRENS WAY # MC6013, SAN DIEGO, CA 92123-4223
(619) 420-5611
(619) 420-5531
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RPS2008174
CA
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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