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1801670328
ASHKAN RAFAEL SHADI
LOS ANGELES, CA
NPI
1801670328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
102L00000X Psychoanalyst
(Licence: CA LMFT135824)
Enumeration Date
2023-08-24
Last Update Date
2023-08-24
Business Address
ASHKAN RAFAEL SHADI LMFT
1167 ROXBURY DR
LOS ANGELES, CA 90035-1046
Phone number: 310-592-1576
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Mailing Address
ASHKAN RAFAEL SHADI LMFT
1167 ROXBURY DR
LOS ANGELES, CA 90035-1046
Phone number: 310-592-1576
Copy
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