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1114364601
LISA DECKELBAUM
SAN DIEGO, CA
NPI
1114364601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 29306)
Enumeration Date
2013-05-24
Last Update Date
2013-05-24
Business Address
Mrs. LISA DECKELBAUM LCSW
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
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Mailing Address
Mrs. LISA DECKELBAUM LCSW
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
Copy
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