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1053514679
STEPHAN BRETT POULTER
LOS ANGELES, CA
NPI
1053514679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA psy13992)
Enumeration Date
2007-06-10
Last Update Date
2024-09-12
Business Address
Dr. STEPHAN BRETT POULTER ph.d
11980 SAN VICENTE BLVD STE 621
LOS ANGELES, CA 90049-6604
Phone number: 310-480-8352
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Mailing Address
Dr. STEPHAN BRETT POULTER ph.d
11980 SAN VICENTE BLVD STE 621
LOS ANGELES, CA 90049-6604
Phone number: 310-480-8352
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