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1104114206
KEVIN M FAWCETT
SAN DIEGO, CA
NPI
1104114206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY 24224)
Enumeration Date
2011-07-11
Last Update Date
2017-04-05
Business Address
Dr. KEVIN M FAWCETT Ph.D.
3604 4TH AVE SUITE 5
SAN DIEGO, CA 92103-4165
Phone number: 619-356-0811
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Mailing Address
Dr. KEVIN M FAWCETT Ph.D.
3604 4TH AVE SUITE 5
SAN DIEGO, CA 92103-4165
Phone number: 619-356-0811
Copy
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