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1487728390
LAWRENCE M LEASE
BENICIA, CA
NPI
1487728390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC11815)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
-- LAWRENCE M LEASE MFT
281 E H ST
BENICIA, CA 94510-3345
Phone number: 707-751-1408
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Mailing Address
-- LAWRENCE M LEASE MFT
281 E H ST
BENICIA, CA 94510-3345
Phone number: 707-751-1408
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