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1497951198
WAYNE LAVENDER PHD
BROOKLYN, NY
NPI
1497951198
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Entity Type
Organization
Authorized Contact
WAYNE J LAVENDER
Owner
718-596-7442
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 4755)
Enumeration Date
2007-06-21
Last Update Date
2020-08-22
Business Address
WAYNE LAVENDER PHD
62 PIERREPONT ST # 1E
BROOKLYN, NY 11201-2452
Phone number: 718-596-7442
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Mailing Address
WAYNE LAVENDER PHD
62 PIERREPONT ST # 1E
BROOKLYN, NY 11201-2452
Phone number: 718-596-7442
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