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1184043234
LISA CARUSO
LEMON GROVE, CA
NPI
1184043234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-04-15
Last Update Date
2014-04-15
Business Address
-- LISA CARUSO
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-466-9274
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Mailing Address
-- LISA CARUSO
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-478-5696
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