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1245249523
ELLI KIMBAUER
CRESCENT CITY, CA
NPI
1245249523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY 18816)
Enumeration Date
2006-08-05
Last Update Date
2007-07-09
Business Address
Dr. ELLI KIMBAUER Psy.D.
1080 MASON MALL 6A
CRESCENT CITY, CA 95531-4334
Phone number: 707-464-7662
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Mailing Address
Dr. ELLI KIMBAUER Psy.D.
1080 MASON MALL 6A
CRESCENT CITY, CA 95531-4334
Phone number: 707-464-7662
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