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1336379205
LAVERNE MATIAS
OAKLAND, CA
NPI
1336379205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 47409)
Enumeration Date
2009-07-24
Last Update Date
2009-07-24
Business Address
-- LAVERNE MATIAS MFT
3637 GRAND AVE STE E
OAKLAND, CA 94610-2029
Phone number: 510-282-4980
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Mailing Address
-- LAVERNE MATIAS MFT
3637 GRAND AVE STE E
OAKLAND, CA 94610-2029
Phone number: 510-282-4980
Copy
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