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1134159908
SUSAN LILES WISNESKI
DALLAS, TX
NPI
1134159908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX LPC 15264)
Enumeration Date
2006-07-04
Last Update Date
2007-07-08
Business Address
-- SUSAN LILES WISNESKI LPC
4054 MCKINNEY AVE STE 102
DALLAS, TX 75204-2050
Phone number: 214-520-6308
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Mailing Address
-- SUSAN LILES WISNESKI LPC
4054 MCKINNEY AVE STE 102
DALLAS, TX 75204-2050
Phone number: 214-520-6308
Copy
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