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1124673447
JOHN BRENT LAGUE
GLENDALE, CA
NPI
1124673447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY24031)
Enumeration Date
2019-08-04
Last Update Date
2019-08-04
Business Address
JOHN BRENT LAGUE PsyD
1101 N PACIFIC AVE STE 204
GLENDALE, CA 91202-4316
Phone number: 626-806-8652
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Mailing Address
JOHN BRENT LAGUE PsyD
202 N MADISON AVE
MONROVIA, CA 91016-1553
Phone number: 626-806-8652
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