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Organization
LOMIBAO PSYCHOLOGICAL SERVICES PC
Active
Organization
LOMIBAO PSYCHOLOGICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADALINE LOMIBAO (CEO/CLINICAL PSYCHOLOGIST)
(916) 509-1415
Entity
Organization
Contact information
Practice address
8788 ELK GROVE BLVD, ELK GROVE, CA 95624-1766
(916) 509-1415
(916) 273-9757
Mailing address
PO BOX 582602, ELK GROVE, CA 95758-0044
(916) 509-1415
(916) 273-9757
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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