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Individual

DR. JULIE MACCARIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
45 SAN CLEMENTE DRIVE, SUITE D220, CORTE MADERA, CA 94925-1244
(415) 325-4453
(828) 225-9888
Mailing address
106 TREANOR ST, SAN RAFAEL, CA 94901-3819
(415) 325-4453
(828) 225-9888

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2751
NC
225XP0200X
Pediatric Occupational Therapist
4694
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6000256
NC
Enumeration date
03/20/2006
Last updated
11/03/2017
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