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1215994199
LISA R. GROSSMAN
SANTA ROSA, CA
NPI
1215994199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY19121)
Enumeration Date
2006-04-26
Last Update Date
2007-07-08
Business Address
-- LISA R. GROSSMAN Ph.D.
825 COLLEGE AVE
SANTA ROSA, CA 95404-4108
Phone number: 707-539-1355
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Mailing Address
-- LISA R. GROSSMAN Ph.D.
825 COLLEGE AVE
SANTA ROSA, CA 95404-4108
Phone number: 707-539-1355
Copy
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