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1174775134
LA VIE PSYCHOLOGY GROUP, INC.
PASADENA, CA
NPI
1174775134
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Entity Type
Organization
Authorized Contact
MARK W BAKER
President
626-351-9616
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY9219)
Enumeration Date
2008-10-21
Last Update Date
2008-10-21
Business Address
LA VIE PSYCHOLOGY GROUP, INC.
650 SIERRA MADRE VILLA AVE SUITE 110
PASADENA, CA 91107-2013
Phone number: 626-351-9616
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Mailing Address
LA VIE PSYCHOLOGY GROUP, INC.
650 SIERRA MADRE VILLA AVE SUITE 110
PASADENA, CA 91107-2013
Phone number: 626-351-9616
Copy
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