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1679601694
LAURIE G MAYNARD
SAN DIEGO, CA
NPI
1679601694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 9512)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
-- LAURIE G MAYNARD LCSW
4487 CENTRAL AVE
SAN DIEGO, CA 92116-3830
Phone number: 619-584-0175
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Mailing Address
-- LAURIE G MAYNARD LCSW
4487 CENTRAL AVE
SAN DIEGO, CA 92116-3830
Phone number: 619-584-0175
Copy
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