Provider First Line Business Practice Location Address:
850 COLUMBIA AVE
Provider Second Line Business Practice Location Address:
PSYCHOLOGY DEPARTMENT/CLAREMONT MCKENNA COLLEGE
Provider Business Practice Location Address City Name:
CLAREMONT
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91711-3901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-621-8598
Provider Business Practice Location Address Fax Number:
909-621-8419
Provider Enumeration Date:
01/22/2013