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1659409654
AUTUMN JEFFERSON
LOS ANGELES, CA
NPI
1659409654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY33479)
Enumeration Date
2007-03-01
Last Update Date
2024-10-16
Business Address
AUTUMN JEFFERSON
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-432-5185
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Mailing Address
AUTUMN JEFFERSON
5943 OCEAN TERRACE DR
RANCHO PALOS VERDES, CA 90275-5756
Phone number: 310-418-9117
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