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1003009408
LISA WYNLAND LUKIANOFF
SAN RAFAEL, CA
NPI
1003009408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-08-20
Last Update Date
2007-08-20
Business Address
-- LISA WYNLAND LUKIANOFF
555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903-3680
Phone number: 415-491-5700
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Mailing Address
-- LISA WYNLAND LUKIANOFF
PO BOX 513
FOREST KNOLLS, CA 94933-0513
Phone number: 415-488-8802
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