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Individual

MS. ALTHEA V. WOLAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
66565 ACOMA AVE. #63, DESERT HOT SPRINGS, CA 92240
(951) 551-4146
(951) 763-0805
Mailing address
66565 ACOMA AVE. #63, DESERT HOT SPRINGS, CA 92240
(951) 551-4146
(951) 763-0805

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY16382

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PSY16382
PSYCHOLOGIST LICENSE
CA
Enumeration date
01/25/2007
Last updated
04/28/2015
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