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1013322965
LAURA LEACIE WILSON WATERS
PASADENA, CA
NPI
1013322965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA 31585)
Additional Taxonomies
225C00000X Rehabilitation Counselor
Enumeration Date
2014-06-29
Last Update Date
2022-09-15
Business Address
LAURA LEACIE WILSON WATERS
2550 E FOOTHILL BLVD
PASADENA, CA 91107-3406
Phone number: 626-744-5230
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Mailing Address
LAURA LEACIE WILSON WATERS
2550 E FOOTHILL BLVD
PASADENA, CA 91107-3406
Phone number: 626-744-5230
Copy
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