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1659007045
PERLA BASTIEN-LARIVAUX
LODI, NJ
NPI
1659007045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NJ 37PC00863400)
Enumeration Date
2022-07-27
Last Update Date
2022-07-27
Business Address
PERLA BASTIEN-LARIVAUX LMFT-LPC
56 CHURCH ST REAR REAR
LODI, NJ 07644-2407
Phone number: 862-591-0211
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Mailing Address
PERLA BASTIEN-LARIVAUX LMFT-LPC
56 CHURCH ST REAR REAR
LODI, NJ 07644-2407
Phone number: 862-591-0211
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