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1013287572
LISA GUTIERREZ WANG
SANTA CRUZ, CA
NPI
1013287572
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Former Name
LISA GUTIERREZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA 23588)
Enumeration Date
2011-12-30
Last Update Date
2019-07-19
Business Address
Dr. LISA GUTIERREZ WANG Ph.D.
1400 EMELINE AVENUE BUILDING K
SANTA CRUZ, CA 95060
Phone number: 831-454-4948
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Mailing Address
Dr. LISA GUTIERREZ WANG Ph.D.
1400 EMELINE AVENUE BUILDING K
SANTA CRUZ, CA 95060
Phone number: 831-454-4948
Copy
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