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1881015733
TED SHORE
CARLSBAD, CA
NPI
1881015733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY2725)
Enumeration Date
2013-12-19
Last Update Date
2013-12-19
Business Address
-- TED SHORE
3295 AVENIDA ANACAPA
CARLSBAD, CA 92009-9301
Phone number: 760-750-4298
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Mailing Address
-- TED SHORE
3295 AVENIDA ANACAPA
CARLSBAD, CA 92009-9301
Phone number:
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