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1003968066
KIMBERLY LISA VANDER DUSSEN
PLACENTIA, CA
NPI
1003968066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY17209)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
Dr. KIMBERLY LISA VANDER DUSSEN Psy. D.
101 S KRAEMER BLVD STE 236
PLACENTIA, CA 92870-6102
Phone number: 714-329-6080
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Mailing Address
Dr. KIMBERLY LISA VANDER DUSSEN Psy. D.
101 S KRAEMER BLVD STE 236
PLACENTIA, CA 92870-6102
Phone number: 714-329-6080
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