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1174063556
LORI HEAGERTY
LAKEPORT, CA
NPI
1174063556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA mm19486)
Enumeration Date
2017-03-03
Last Update Date
2017-03-03
Business Address
-- LORI HEAGERTY LMFT
1152 S MAIN ST
LAKEPORT, CA 95453-5517
Phone number: 707-263-8795
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Mailing Address
-- LORI HEAGERTY LMFT
1152 S MAIN ST
LAKEPORT, CA 95453-5517
Phone number: 707-263-8795
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