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1114405305
SOFIE LING CHAMPASSAK
SAN DIEGO, CA
NPI
1114405305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY30201)
Enumeration Date
2018-07-31
Last Update Date
2019-09-03
Business Address
Dr. SOFIE LING CHAMPASSAK PhD
3411 3RD AVE
SAN DIEGO, CA 92103-4906
Phone number: 619-722-5797
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Mailing Address
Dr. SOFIE LING CHAMPASSAK PhD
PO BOX 26331
SAN DIEGO, CA 92196-0331
Phone number:
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