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1104182823
LISA COREY
RANCHO MIRAGE, CA
NPI
1104182823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT50323)
Enumeration Date
2012-04-06
Last Update Date
2019-04-05
Business Address
LISA COREY
41750 RANCHO LAS PALMAS DR STE K-1
RANCHO MIRAGE, CA 92270-5514
Phone number: 760-459-2282
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Mailing Address
LISA COREY
PO BOX 902
IDYLLWILD, CA 92549-0902
Phone number:
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