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1942087861
ALEXANDRA TANNER
LOS ANGELES, CA
NPI
1942087861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY34509)
Enumeration Date
2023-09-13
Last Update Date
2024-04-17
Business Address
ALEXANDRA TANNER PhD
12405 VENICE BLVD # 163
LOS ANGELES, CA 90066-3803
Phone number: 323-940-7971
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Mailing Address
ALEXANDRA TANNER PhD
12405 VENICE BLVD # 163
LOS ANGELES, CA 90066-3803
Phone number: 323-940-7971
Copy
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