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1982727392
TRACY DENISE SHAW
CULVER CITY, CA
NPI
1982727392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TP0016X Psychologist, Prescribing (Medical)
(Licence: CA PSY 12548)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Dr. TRACY DENISE SHAW Ph.D.
5855 GREEN VALLEY CIR SUITE 109
CULVER CITY, CA 90230-6946
Phone number: 310-641-3600
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Mailing Address
Dr. TRACY DENISE SHAW Ph.D.
5855 GREEN VALLEY CIR SUITE 109
CULVER CITY, CA 90230-6946
Phone number: 310-641-3600
Copy
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