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1104100031
AUTUMN LOREENE BACKHAUS
SAN DIEGO, CA
NPI
1104100031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY24346)
Enumeration Date
2011-10-11
Last Update Date
2011-10-11
Business Address
Dr. AUTUMN LOREENE BACKHAUS Ph.D.
3350 LA JOLLA VILLAGE DR PSYCHOLOGY SERVICE
SAN DIEGO, CA 92161-0002
Phone number: 858-401-3827
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Mailing Address
Dr. AUTUMN LOREENE BACKHAUS Ph.D.
3350 LA JOLLA VILLAGE DR PSYCHOLOGY SERVICE
SAN DIEGO, CA 92161-0002
Phone number:
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