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1043342140
LISA GRACE POLISANO
CAMARILLO, CA
NPI
1043342140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 46922)
Enumeration Date
2007-03-12
Last Update Date
2009-03-12
Business Address
-- LISA GRACE POLISANO
975 FLYNN RD
CAMARILLO, CA 93012-8704
Phone number: 805-914-1439
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Mailing Address
-- LISA GRACE POLISANO
4798 SULLIVAN ST #103
VENTURA, CA 93003-8213
Phone number: 818-929-6586
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