Individual
CAROLYN MARIE CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6244 EL CAJON BLVD STE 17, SAN DIEGO, CA 92115-3918
(619) 287-8225
(619) 287-4146
Mailing address
6244 EL CAJON BLVD STE 17, SAN DIEGO, CA 92115-3918
(619) 287-8225
(619) 287-4146
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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