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1538881982
KIMBERLY BAUSBACK
SAN MATEO, CA
NPI
1538881982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 33564)
Enumeration Date
2022-09-13
Last Update Date
2024-11-07
Business Address
KIMBERLY BAUSBACK
116 E 25TH AVE STE C
SAN MATEO, CA 94403-2596
Phone number: 650-336-0443
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Mailing Address
KIMBERLY BAUSBACK
116 E 25TH AVE STE C
SAN MATEO, CA 94403-2596
Phone number:
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