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1396305454
JAMIE LAVENDER
ALAMEDA, CA
NPI
1396305454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 48973)
Enumeration Date
2019-06-19
Last Update Date
2019-06-19
Business Address
JAMIE LAVENDER LMFT
3250 BRIGGS AVE APT F
ALAMEDA, CA 94501-4849
Phone number: 415-723-0563
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Mailing Address
JAMIE LAVENDER LMFT
3250 BRIGGS AVE APT F
ALAMEDA, CA 94501-4849
Phone number: 415-723-0563
Copy
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