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1174758569
STEPHEN HAYNES CARLSON
OAKLAND, CA
NPI
1174758569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY 27819)
Enumeration Date
2009-05-28
Last Update Date
2016-09-16
Business Address
Mr. STEPHEN HAYNES CARLSON PsyD
298 GRAND AVE #100
OAKLAND, CA 94610-4724
Phone number: 510-566-1076
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Mailing Address
Mr. STEPHEN HAYNES CARLSON PsyD
2446 24TH AVE
OAKLAND, CA 94601-1267
Phone number: 510-566-1076
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