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1336688142
DIANE LASS
SAN DIEGO, CA
NPI
1336688142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY23820)
Enumeration Date
2017-02-14
Last Update Date
2017-02-14
Business Address
Dr. DIANE LASS PhD
5059 NEWPORT AVE STE 202
SAN DIEGO, CA 92107-3056
Phone number: 619-533-6089
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Mailing Address
Dr. DIANE LASS PhD
5059 NEWPORT AVE STE 202
SAN DIEGO, CA 92107-3056
Phone number: 619-533-6089
Copy
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