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1275883308
LILLI EDSON
LAKEPORT, CA
NPI
1275883308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 100196)
Enumeration Date
2012-09-17
Last Update Date
2018-09-21
Business Address
LILLI EDSON MA
1152 S MAIN ST
LAKEPORT, CA 95453-5517
Phone number: 707-263-8795
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Mailing Address
LILLI EDSON MA
1152 S MAIN ST
LAKEPORT, CA 95453-5517
Phone number: 707-262-4100
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