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1619063682
KEVIN J MCCULLOUGH
SHERMAN OAKS, CA
NPI
1619063682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY17554)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
Dr. KEVIN J MCCULLOUGH Ph.D.
15456 VENTURA BLVD SUITE 201
SHERMAN OAKS, CA 91403-3018
Phone number: 818-783-9930
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Mailing Address
Dr. KEVIN J MCCULLOUGH Ph.D.
PO BOX 451111
LOS ANGELES, CA 90045-8510
Phone number: 310-748-4354
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