MARK JOHN SOURIS

TARZANA, CA
NPI1215381918
Entity TypeOrganization
Authorized ContactMARK JOHN SOURIS
Owner
818-635-9705
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  14283)
Enumeration Date2016-04-19
Last Update Date2016-04-19
Business Address
MARK JOHN SOURIS
18757 BURBANK BLVD SUITE 125
TARZANA, CA 91356-3375
Phone number: 818-635-9705
Mailing Address
MARK JOHN SOURIS
19701 TUBA ST
CHATSWORTH, CA 91311-3547
Phone number: 818-635-9705
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