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Individual
JOCELYN R GUTZMAN
Active
Individual
JOCELYN R GUTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSB37682
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W416
PCSD MEDICARE #
CA
Enumeration date
09/05/2013
Last updated
09/05/2013
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