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1003389099
LISA MICHELLE LASSEN
SAN ANTONIO, TX
NPI
1003389099
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Former Name
LISA MICHELLE CASTILLO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 62512)
Enumeration Date
2019-01-02
Last Update Date
2019-01-02
Business Address
Mrs. LISA MICHELLE LASSEN LCSW
4242 MEDICAL DR STE 6300
SAN ANTONIO, TX 78229-5372
Phone number: 210-614-8400
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Mailing Address
Mrs. LISA MICHELLE LASSEN LCSW
4242 MEDICAL DR STE 6300
SAN ANTONIO, TX 78229-5372
Phone number: 210-614-8400
Copy
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