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1174790349
LISA JEANNETTE MADER
SAN DIEGO, CA
NPI
1174790349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KS 2487)
Enumeration Date
2008-05-15
Last Update Date
2008-05-15
Business Address
Ms. LISA JEANNETTE MADER LCSW
9791 MESA SPRINGS WAY #80
SAN DIEGO, CA 92126-4150
Phone number: 619-209-9989
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Mailing Address
Ms. LISA JEANNETTE MADER LCSW
9791 MESA SPRINGS WAY #80
SAN DIEGO, CA 92126-4150
Phone number: 619-209-9989
Copy
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