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1023838158
LISA MARIE POLACCI
SAN RAFAEL, CA
NPI
1023838158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 65052)
Enumeration Date
2024-10-14
Last Update Date
2024-10-14
Business Address
Mrs. LISA MARIE POLACCI LCSW
11 MARINERS CIR
SAN RAFAEL, CA 94903-5100
Phone number: 415-407-0255
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Mailing Address
Mrs. LISA MARIE POLACCI LCSW
11 MARINERS CIR
SAN RAFAEL, CA 94903-5100
Phone number: 415-407-0255
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