LISA REISDORF BISHOP

ST AUGUSTINE, FL
NPI1235166539
Former NameLISA BISHOP
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH 7777)
Enumeration Date2006-06-26
Last Update Date2007-07-08
Business Address
Mrs. LISA REISDORF BISHOP
165 SOUTHPARK BLVD
ST AUGUSTINE, FL 32086-4101
Phone number: 904-824-7597
Mailing Address
Mrs. LISA REISDORF BISHOP
508 12TH ST
ST AUGUSTINE, FL 32084-1462
Phone number: 904-687-0581
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