Individual
DR. MARA TOLENE THORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 836-1223
Mailing address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 836-1223
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY27944
CA
Other
Enumeration date
08/09/2011
Last updated
02/03/2016
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