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1295273019
LAURA BEVILACQUA
BRENTWOOD, CA
NPI
1295273019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 74986)
Enumeration Date
2017-02-01
Last Update Date
2017-02-01
Business Address
-- LAURA BEVILACQUA MFTI
160 GUTHRIE LN # B SUITE 1
BRENTWOOD, CA 94513-4059
Phone number: 925-222-9657
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Mailing Address
-- LAURA BEVILACQUA MFTI
160 GUTHRIE LN # B SUITE 1
BRENTWOOD, CA 94513-4059
Phone number: 925-222-9657
Copy
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