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Individual
OLIVIA HOLLY LAVELLE
Active
Individual
OLIVIA HOLLY LAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PPSC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
86347
CA
104100000X
Social Worker
119670
CA
1041C0700X
Clinical Social Worker
Primary
119670
CA
Other
Enumeration date
05/25/2017
Last updated
01/23/2024
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