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1265920235
MAUREEN ANN LAVENGOOD
MARINA, CA
NPI
1265920235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS5138)
Enumeration Date
2018-04-25
Last Update Date
2018-04-25
Business Address
MAUREEN ANN LAVENGOOD LCSW
299 12TH ST STE B
MARINA, CA 93933-6003
Phone number: 831-883-3030
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Mailing Address
MAUREEN ANN LAVENGOOD LCSW
299 12TH ST STE B
MARINA, CA 93933-6003
Phone number: 831-883-3030
Copy
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