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Organization
SILVER OWL CONNECTIONS, LLC
Active
Organization
SILVER OWL CONNECTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDREY HAM PHD (PARTNER)
(626) 319-6327
Entity
Organization
Contact information
Practice address
202 S LAKE AVE, SUITE 240, PASADENA, CA 91101
(626) 319-6327
Mailing address
202 S LAKE AVE STE 240, PASADENA, CA 91101-4831
(626) 319-6327
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22723
CA
106H00000X
Marriage & Family Therapist
77636
CA
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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