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Organization
MIND WELL PSYCHOLOGICAL SERVICES, PC
Active
Organization
MIND WELL PSYCHOLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI Q CHAIB PSY.D. (DIRECTOR)
(708) 466-6443
Entity
Organization
Contact information
Practice address
648 AVENUE B, REDONDO BEACH, CA 90277-4829
(708) 466-6443
Mailing address
648 AVENUE B, REDONDO BEACH, CA 90277-4829
(708) 466-6443
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY25255
CA
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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