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Individual

MISS HOLLY MICHELLE MAUGHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
532 E COLORADO BLVD FL 8, PASADENA, CA 91101-2044
(626) 229-3818
(626) 793-6003
Mailing address
532 E. COLORADO BLVD, 8TH FLOOR, PASADENA, CA 91101
(626) 229-3818
(626) 793-6003

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
11/11/2008
Last updated
11/11/2008
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