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1457453763
WAYNE LAVENGOOD
MONTEREY, CA
NPI
1457453763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS3374)
Enumeration Date
2006-09-05
Last Update Date
2014-07-02
Business Address
-- WAYNE LAVENGOOD
23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
Phone number: 831-624-5311
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Mailing Address
-- WAYNE LAVENGOOD
P O BOX HH BUSINESS DEVELOPMENT & CONTRACTING
MONTEREY, CA 93942
Phone number: 831-622-2716
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