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1124586664
LISA LOUISE CANNISTRACI
OAK HARBOR, WA
NPI
1124586664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60716486)
Enumeration Date
2019-03-04
Last Update Date
2019-03-04
Business Address
Ms. LISA LOUISE CANNISTRACI CO 60716486
31640 STATE ROUTE 20
OAK HARBOR, WA 98277-3128
Phone number: 360-679-7676
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Mailing Address
Ms. LISA LOUISE CANNISTRACI CO 60716486
PO BOX 545
CLINTON, WA 98236-0545
Phone number: 360-341-4451
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