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1972665198
TERESA JEAN LIVELY
SAN JOSE, CA
NPI
1972665198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA 20059)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
Dr. TERESA JEAN LIVELY PhD
5755 COTTLE RD
SAN JOSE, CA 95123-3640
Phone number: 408-363-4904
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Mailing Address
Dr. TERESA JEAN LIVELY PhD
5755 COTTLE RD
SAN JOSE, CA 95123-3640
Phone number: 408-363-4904
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