ANDREW JEFFREY LAVICK

ENCINO, CA
NPI1376167429
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy102L00000X Psychoanalyst
(Licence: CA  LMFT111723)
Enumeration Date2020-06-04
Last Update Date2020-06-04
Business Address
ANDREW JEFFREY LAVICK
16055 VENTURA BLVD STE 724
ENCINO, CA 91436-2610
Phone number: 310-600-2105
Mailing Address
ANDREW JEFFREY LAVICK
14315 RIVERSIDE DR UNIT 205
SHERMAN OAKS, CA 91423-1780
Phone number: 818-207-3977
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