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1205213485
LISA R GROSSMAN PHD PSYCHOLOGIST A PROFESSIONAL CORPORATION
SANTA ROSA, CA
NPI
1205213485
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Entity Type
Organization
Authorized Contact
LISA R. GROSSMAN
Psychologist
707-527-0295
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY19121)
Enumeration Date
2015-04-27
Last Update Date
2015-06-26
Business Address
LISA R GROSSMAN PHD PSYCHOLOGIST A PROFESSIONAL CORPORATION
825 COLLEGE AVE
SANTA ROSA, CA 95404-4108
Phone number: 707-527-0295
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Mailing Address
LISA R GROSSMAN PHD PSYCHOLOGIST A PROFESSIONAL CORPORATION
825 COLLEGE AVE
SANTA ROSA, CA 95404-4108
Phone number: 707-527-0295
Copy
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