LISA GRACE POLISANO

CAMARILLO, CA
NPI1043342140
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  46922)
Enumeration Date2007-03-12
Last Update Date2009-03-12
Business Address
-- LISA GRACE POLISANO
975 FLYNN RD
CAMARILLO, CA 93012-8704
Phone number: 805-914-1439
Mailing Address
-- LISA GRACE POLISANO
4798 SULLIVAN ST #103
VENTURA, CA 93003-8213
Phone number: 818-929-6586