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1083279350
LISA QUACH
BERKELEY, CA
NPI
1083279350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2019-05-02
Last Update Date
2019-05-02
Business Address
LISA QUACH
2222 BANCROFT WAY
BERKELEY, CA 94720-4301
Phone number: 510-643-2904
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Mailing Address
LISA QUACH
100 LEFFERTS AVE APT 4K
BROOKLYN, NY 11225-3909
Phone number: 510-725-2115
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