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1215247804
LISA SULLIVAN
SAN JOSE, CA
NPI
1215247804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 38725)
Enumeration Date
2010-10-15
Last Update Date
2010-10-15
Business Address
-- LISA SULLIVAN M.A. LMFT
913 WILLOW ST STE 103
SAN JOSE, CA 95125-2380
Phone number: 408-440-9047
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Mailing Address
-- LISA SULLIVAN M.A. LMFT
913 WILLOW ST STE 103
SAN JOSE, CA 95125-2380
Phone number: 408-440-9047
Copy
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