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1063747848
ELIZABETH LEE WATERMAN
COSTA MESA, CA
NPI
1063747848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY25081)
Enumeration Date
2009-10-12
Last Update Date
2013-07-09
Business Address
Ms. ELIZABETH LEE WATERMAN
652 BEACH ST
COSTA MESA, CA 92627-3409
Phone number: 949-836-5634
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Mailing Address
Ms. ELIZABETH LEE WATERMAN
652 BEACH ST
COSTA MESA, CA 92627-3409
Phone number: 949-836-5634
Copy
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