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1114395506
LISA AUSTIN
LARGO, MD
NPI
1114395506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 13783)
Enumeration Date
2015-09-02
Last Update Date
2015-09-02
Business Address
-- LISA AUSTIN
1330 MCCORMICK DR
LARGO, MD 20774-5398
Phone number: 301-773-3500
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Mailing Address
-- LISA AUSTIN
9410 SQUIRES CT
LAUREL, MD 20723-1600
Phone number: 301-512-3889
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