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1669721684
ELISA BROWN FULLER
TORRANCE, CA
NPI
1669721684
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Former Name
ELISA MARIE BROWN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY32819)
Enumeration Date
2012-09-05
Last Update Date
2022-03-05
Business Address
Dr. ELISA BROWN FULLER PhD
25550 HAWTHORNE BLVD STE 210
TORRANCE, CA 90505-6832
Phone number: 310-295-9528
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Mailing Address
Dr. ELISA BROWN FULLER PhD
10736 JEFFERSON BLVD # 412
CULVER CITY, CA 90230-4933
Phone number: 310-295-9528
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