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Individual

DEANNA TRACY DOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
300 UCLA MEDICAL PLZ STE 1273, LOS ANGELES, CA 90095-1303
(310) 825-9989
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8771

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31841
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/24/2017
Last updated
03/28/2022
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