Individual
CAROLINA MARAVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
510 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(999) 999-9999
Mailing address
510 S VERMONT AVE, LOS ANGELES, CA 90020-1912
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
01/04/2025
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