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1003098427
MARK JOHN SOURIS
WOODLAND HILLS, CA
NPI
1003098427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY14283)
Enumeration Date
2007-11-27
Last Update Date
2016-11-17
Business Address
-- MARK JOHN SOURIS PsyD
21243 VENTURA BLVD SUITE 207
WOODLAND HILLS, CA 91364-2109
Phone number: 818-635-9705
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Mailing Address
-- MARK JOHN SOURIS PsyD
19701 TUBA ST
CHATSWORTH, CA 91311-3547
Phone number: 818-635-9705
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