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1346946001
SHANNON KOVACH
LOS ANGELES, CA
NPI
1346946001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY33959)
Enumeration Date
2023-02-03
Last Update Date
2023-02-03
Business Address
-- SHANNON KOVACH PHD
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
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Mailing Address
-- SHANNON KOVACH PHD
5907 GREGORY AVE APT 3
LOS ANGELES, CA 90038-3838
Phone number:
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