LISA LEETTA JEWETT

GALT, CA
NPI1144794991
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1310170618)
Enumeration Date2019-01-15
Last Update Date2019-01-15
Business Address
LISA LEETTA JEWETT RADT
750 SPAANS DR STE CD&F
GALT, CA 95632-8609
Phone number: 209-744-9909
Mailing Address
LISA LEETTA JEWETT RADT
2937 TOGNINALI LN
STOCKTON, CA 95206-6028
Phone number: 408-508-2178
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