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1356649545
LAURIE K HALVERSEN
CLEARLAKE, CA
NPI
1356649545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 26339)
Enumeration Date
2011-03-11
Last Update Date
2011-03-11
Business Address
-- LAURIE K HALVERSEN LCSW
15630 18TH AVE
CLEARLAKE, CA 95422-9336
Phone number: 707-994-6486
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Mailing Address
-- LAURIE K HALVERSEN LCSW
15630 18TH AVE
CLEARLAKE, CA 95422-9336
Phone number: 707-994-6486
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