Individual
DR. ELIZABETH SHANNON WELLFORD-MAGNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
905 MILWOOD AVE, VENICE, CA 90291-3832
(310) 968-1924
Mailing address
905 MILWOOD AVE, VENICE, CA 90291-3832
(310) 968-1924
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
27909
CA
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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