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1073736559
MICHAEL ADAM DOUGLAS
LOS ANGELES, CA
NPI
1073736559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY 20495)
Enumeration Date
2007-04-11
Last Update Date
2024-03-06
Business Address
MICHAEL ADAM DOUGLAS PhD
6310 SAN VICENTE BLVD SUITE 425
LOS ANGELES, CA 90048
Phone number: 310-405-1948
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Mailing Address
MICHAEL ADAM DOUGLAS PhD
6310 SAN VICENTE BLVD SUITE 425
LOS ANGELES, CA 90048
Phone number: 310-405-1948
Copy
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