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1801965744
WAYNE J LAVENDER
BROOKLYN, NY
NPI
1801965744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 0047551)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
-- WAYNE J LAVENDER PhD
62 PIERREPONT ST SUITE 1-E
BROOKLYN, NY 11201-2452
Phone number: 718-596-7442
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Mailing Address
-- WAYNE J LAVENDER PhD
62 PIERREPONT ST SUITE 1-E
BROOKLYN, NY 11201-2452
Phone number: 718-596-7442
Copy
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