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1013604446
LISA LOOSLE
PORT ST LUCIE, FL
NPI
1013604446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: FL 1768)
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
LISA LOOSLE Ed.S.
529 NW PRIMA VISTA BLVD STE 301L
PORT ST LUCIE, FL 34983-8790
Phone number: 772-404-2122
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Mailing Address
LISA LOOSLE Ed.S.
1530 W ANN TAYLOR ST APT M101
MERIDIAN, ID 83646-4022
Phone number: 208-494-4487
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