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1508076951
LAVETA BENTON
SAN LUIS OBISPO, CA
NPI
1508076951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA PT17973)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
-- LAVETA BENTON PT
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4001
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Mailing Address
-- LAVETA BENTON PT
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4001
Copy
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