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1174883268
LISA JILL GERBER
MONROE, WA
NPI
1174883268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60246927)
Enumeration Date
2012-05-22
Last Update Date
2012-05-22
Business Address
-- LISA JILL GERBER
14090 FRYELANDS BLVD SE SUITE 347
MONROE, WA 98272-2693
Phone number: 360-805-3122
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Mailing Address
-- LISA JILL GERBER
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-3335
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