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1225710940
LISA PACK
SAN RAFAEL, CA
NPI
1225710940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW114643)
Enumeration Date
2023-08-02
Last Update Date
2023-08-02
Business Address
LISA PACK LCSW
217 LAUREL PL APT 2
SAN RAFAEL, CA 94901-2043
Phone number: 145-254-4491
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Mailing Address
LISA PACK LCSW
217 LAUREL PL APT 2
SAN RAFAEL, CA 94901-2043
Phone number: 145-254-4491
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