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Individual

HILARY TAMARA KAREN GHOZALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17752 SKY PARK CIR STE 245, IRVINE, CA 92614-4478
(949) 438-3344
Mailing address
17752 SKY PARK CIR STE 245, IRVINE, CA 92614-4478
(949) 438-3344

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
106S00000X
Behavior Technician

Other

Enumeration date
06/15/2021
Last updated
08/18/2024
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