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1275164634
PAVAN BASRA
SHERMAN OAKS, CA
NPI
1275164634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 131482)
Enumeration Date
2020-02-03
Last Update Date
2022-09-20
Business Address
PAVAN BASRA LMFT
13400 RIVERSIDE DR
SHERMAN OAKS, CA 91423-2500
Phone number: 818-639-4321
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Mailing Address
PAVAN BASRA LMFT
19300 RINALDI ST. PO BOX 7141
PORTER RANCH, CA 91327-2544
Phone number: 818-639-1423
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