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1295989960
LISA NICOLE WHITTENBURG
GRASS VALLEY, CA
NPI
1295989960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 58872)
Enumeration Date
2008-11-07
Last Update Date
2009-05-26
Business Address
Miss LISA NICOLE WHITTENBURG MFT
333 CROWN POINT CIR
GRASS VALLEY, CA 95945-9534
Phone number: 530-273-2244
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Mailing Address
Miss LISA NICOLE WHITTENBURG MFT
10172 DANIELS WAY
GRASS VALLEY, CA 95949-9769
Phone number: 808-348-2900
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