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Individual

DR. KIM COOKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
10516 SANTA MONICA BLVD, #1, LOS ANGELES, CA 90025-4964
(310) 446-3458
Mailing address
1908 THAYER AVE, LOS ANGELES, CA 90025-5925
(310) 470-8904

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PSY19383
CA

Other

Enumeration date
07/02/2007
Last updated
07/08/2007
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