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1578822219
LISA SUSANNE POWELL
SHERMAN OAKS, CA
NPI
1578822219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY22286)
Enumeration Date
2012-05-15
Last Update Date
2012-05-15
Business Address
Dr. LISA SUSANNE POWELL Psychologist
15235 BURBANK BLVD SUITE B4
SHERMAN OAKS, CA 91411-3500
Phone number: 818-324-6533
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Mailing Address
Dr. LISA SUSANNE POWELL Psychologist
15235 BURBANK BLVD SUITE B4
SHERMAN OAKS, CA 91411-3500
Phone number: 818-324-6533
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