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1992964787
SEANNE SHELLY TYSON
HAWTHORNE, CA
NPI
1992964787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CA PSY17017)
Enumeration Date
2008-06-05
Last Update Date
2008-06-05
Business Address
DR. SEANNE SHELLY TYSON PH.D.
2311 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250-3315
Phone number: 323-241-6730
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Mailing Address
DR. SEANNE SHELLY TYSON PH.D.
2311 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250-3315
Phone number: 323-241-6730
Copy
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