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1467648089
JACLYN MAYBERRY BAUER
WOODLAND HILLS, CA
NPI
1467648089
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Former Name
JACLYN MAYBERRY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY22799)
Enumeration Date
2007-09-18
Last Update Date
2010-01-01
Business Address
Dr. JACLYN MAYBERRY BAUER Ph.D.
6400 CANOGA AVE SUITE 154
WOODLAND HILLS, CA 91367-2425
Phone number: 310-926-3192
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Mailing Address
Dr. JACLYN MAYBERRY BAUER Ph.D.
6400 CANOGA AVE SUITE 154
WOODLAND HILLS, CA 91367-2425
Phone number: 310-926-3192
Copy
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