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Individual

DR. CAROL JEAN OWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
17254 QUESAN PL, ENCINO, CA 91316-3934
(818) 740-4666
Mailing address
17254 QUESAN PL, ENCINO, CA 91316-3934
(310) 666-9730

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
31325
CA

Other

Enumeration date
10/10/2019
Last updated
05/24/2023
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