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1053408419
KIMBERLY K SHANE
LOS ANGELES, CA
NPI
1053408419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY21138)
Enumeration Date
2006-10-06
Last Update Date
2023-10-03
Business Address
Dr. KIMBERLY K SHANE PSY.D
3200 MOTOR AVE
LOS ANGELES, CA 90034-3740
Phone number: 310-836-1223
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Mailing Address
Dr. KIMBERLY K SHANE PSY.D
1404 BECKWITH AVE
LOS ANGELES, CA 90049-3618
Phone number: 310-625-4165
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