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1275947681
KATHERYN LANE MCDONOUGH
LOS ANGELES, CA
NPI
1275947681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 106420)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2014-06-13
Last Update Date
2023-02-27
Business Address
KATHERYN LANE MCDONOUGH LCSW
4470 W SUNSET BLVD STE 107
LOS ANGELES, CA 90027-6309
Phone number: 707-502-2577
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Mailing Address
KATHERYN LANE MCDONOUGH LCSW
PO BOX 6829
EUREKA, CA 95502-6829
Phone number:
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