Individual
SHELBY ROSE CONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 ARMACOST AVE, WEST LOS ANGELES, CA 90025-5205
(808) 780-1424
Mailing address
1801 ARMACOST AVE, WEST LOS ANGELES, CA 90025-5205
(808) 780-1424
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
63747
CA
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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