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1083730717
ANSON J. LEVINE
SANTA MONICA, CA
NPI
1083730717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY 7090)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
Dr. ANSON J. LEVINE Ph.D
1460 7TH ST
SANTA MONICA, CA 90401-2629
Phone number: 310-454-0583
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Mailing Address
Dr. ANSON J. LEVINE Ph.D
572 DRYAD RD
SANTA MONICA, CA 90402-1318
Phone number: 310-454-0583
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