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Individual
SHELLEY L KIND
Active
Individual
SHELLEY L KIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33697
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
09/12/2018
Last updated
10/20/2022
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