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1114561008
LISA MARIE JUSTICE
LAKE CITY, FL
NPI
1114561008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL CNA156763)
Enumeration Date
2019-11-04
Last Update Date
2019-11-04
Business Address
LISA MARIE JUSTICE
439 SW MICHIGAN ST
LAKE CITY, FL 32025-0440
Phone number: 386-487-0800
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Mailing Address
LISA MARIE JUSTICE
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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