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Individual

DOROTHY KATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3051 AUGUSTA ST UNIT 1, SAN LUIS OBISPO, CA 93401-8624
(818) 207-9778
Mailing address
893 MARSH ST # 12751, SAN LUIS OBISPO, CA 93401-3611
(818) 207-9778

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
12/16/2024
Last updated
12/16/2024
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