JIM UTIC

SOLANA BEACH, CA
NPI1538249313
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  psy 15647)
Enumeration Date2006-10-16
Last Update Date2007-07-08
Business Address
-- JIM UTIC
462 STEVENS AVE SUIITE 108
SOLANA BEACH, CA 92075-2075
Phone number: 760-402-1212
Mailing Address
-- JIM UTIC
462 STEVENS AVE SUITE 108
SOLANA BEACH, CA 92075-2075
Phone number:
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