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1891710125
CAROLYN B. SHADDUCK
SANTA MONICA, CA
NPI
1891710125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY4871)
Enumeration Date
2006-07-13
Last Update Date
2007-07-08
Business Address
Dr. CAROLYN B. SHADDUCK Ph.D., Psy.D.
636 26TH ST
SANTA MONICA, CA 90402-3148
Phone number: 310-395-0436
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Mailing Address
Dr. CAROLYN B. SHADDUCK Ph.D., Psy.D.
636 26TH ST
SANTA MONICA, CA 90402-3148
Phone number: 310-395-0436
Copy
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