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1033990411
LOST COAST PSYCHOTHERAPY LCSW PLLC
NEW YORK, NY
NPI
1033990411
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Entity Type
Organization
Authorized Contact
MICHAEL WALDON
Owner
707-489-8814
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2023-10-11
Last Update Date
2023-10-11
Business Address
LOST COAST PSYCHOTHERAPY LCSW PLLC
1178 BROADWAY FL 3
NEW YORK, NY 10001-5666
Phone number: 929-262-0794
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Mailing Address
LOST COAST PSYCHOTHERAPY LCSW PLLC
14 SAN CARLOS AVE
EL CERRITO, CA 94530-4147
Phone number: 707-489-8814
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