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1891132072
KELLY MOTHNER
HERMOSA BEACH, CA
NPI
1891132072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY25739)
Enumeration Date
2013-05-29
Last Update Date
2013-05-30
Business Address
Dr. KELLY MOTHNER Ph.D.
2401 PACIFIC COAST HWY SUITE 102
HERMOSA BEACH, CA 90254-2736
Phone number: 310-892-2572
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Mailing Address
Dr. KELLY MOTHNER Ph.D.
2401 PACIFIC COAST HWY SUITE 102
HERMOSA BEACH, CA 90254-2736
Phone number: 310-892-2572
Copy
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