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1114330396
LISA ANN HANSEN
MERCED, CA
NPI
1114330396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-06-05
Last Update Date
2018-04-25
Business Address
LISA ANN HANSEN M.S.A.C., CATC-IV
1343 W MAIN ST STE 1
MERCED, CA 95340-4438
Phone number: 209-725-1060
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Mailing Address
LISA ANN HANSEN M.S.A.C., CATC-IV
1343 W MAIN ST STE 1
MERCED, CA 95340-4438
Phone number: 209-725-1060
Copy
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