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1336762376
ALYSE JEANNE LAVERNE
ARCATA, CA
NPI
1336762376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT114196)
Enumeration Date
2020-05-26
Last Update Date
2020-05-26
Business Address
ALYSE JEANNE LAVERNE AMFT
565 HILTON LN
ARCATA, CA 95521-8976
Phone number: 707-826-1086
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Mailing Address
ALYSE JEANNE LAVERNE AMFT
1644 TOMPKINS HILL RD
FORTUNA, CA 95540-9728
Phone number: 707-826-1086
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