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1235166539
LISA REISDORF BISHOP
ST AUGUSTINE, FL
NPI
1235166539
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Former Name
LISA BISHOP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH 7777)
Enumeration Date
2006-06-26
Last Update Date
2007-07-08
Business Address
Mrs. LISA REISDORF BISHOP
165 SOUTHPARK BLVD
ST AUGUSTINE, FL 32086-4101
Phone number: 904-824-7597
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Mailing Address
Mrs. LISA REISDORF BISHOP
508 12TH ST
ST AUGUSTINE, FL 32084-1462
Phone number: 904-687-0581
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