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1194917625
CAROL GOTTUSO JAENICKE
LOS ANGELES, CA
NPI
1194917625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY9677)
Enumeration Date
2007-08-17
Last Update Date
2007-08-17
Business Address
Dr. CAROL GOTTUSO JAENICKE Ph.D.
12304 SANTA MONICA BLVD STE. 211
LOS ANGELES, CA 90025-2551
Phone number: 323-936-5718
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Mailing Address
Dr. CAROL GOTTUSO JAENICKE Ph.D.
12304 SANTA MONICA BLVD STE. 211
LOS ANGELES, CA 90025-2551
Phone number: 323-936-5718
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