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Individual

DR. CECILIA QUIGLEY GROMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
5860 AVALON BLVD, LOS ANGELES, CA 90003-1308
(323) 232-2874
Mailing address
5860 AVALON BLVD, LOS ANGELES, CA 90003-1308

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/18/2012
Last updated
08/14/2013
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