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1336750249
BEN LITWACK LAHR
SANTA ROSA, CA
NPI
1336750249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-08-13
Last Update Date
2020-08-13
Business Address
BEN LITWACK LAHR
1550 N DUTTON AVE
SANTA ROSA, CA 95401-4601
Phone number: 707-236-6696
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Mailing Address
BEN LITWACK LAHR
1403 TAMMY WAY
SANTA ROSA, CA 95401-4584
Phone number: 317-690-4359
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