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1538198031
MARIA ELISABETH SULISTIO
HUNTINGTON BEACH, CA
NPI
1538198031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CA PSY18394)
Enumeration Date
2006-06-30
Last Update Date
2012-08-06
Business Address
DR. MARIA ELISABETH SULISTIO PSYD
5200 WARNER AVE SUITE 208
HUNTINGTON BEACH, CA 92649-4057
Phone number: 714-293-2375
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Mailing Address
DR. MARIA ELISABETH SULISTIO PSYD
5200 WARNER AVE STE 208
HUNTINGTON BEACH, CA 92649-4033
Phone number: 714-293-2375
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