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1013140268
MI N PARK
LOS ANGELES, CA
NPI
1013140268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA psy27071)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2009-09-03
Last Update Date
2015-07-14
Business Address
-- MI N PARK
300 MEDICAL PLZ STE 1253
LOS ANGELES, CA 90095-6967
Phone number: 310-794-4008
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Mailing Address
-- MI N PARK
300 MEDICAL PLZ STE 1253
LOS ANGELES, CA 90095-6967
Phone number: 310-794-4008
Copy
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