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Individual
JASON DORIN
Active
Individual
JASON DORIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY27470
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY27470
CA STATE LICENSE
CA
Enumeration date
09/13/2010
Last updated
08/18/2018
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