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Individual

SOMER LAURLYN HARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.T

Contact information

Practice address
23701 E EAST FORK RD, AZUSA, CA 91702-1477
(626) 250-2391
Mailing address
223 E ROWLAND ST, COVINA, CA 91723-3147
(626) 622-0006

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
32274
CA

Other

Enumeration date
10/10/2014
Last updated
11/10/2021
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