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1346704368
LISA MARIE MYRUSKI
ALAMEDA, CA
NPI
1346704368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RA8820917)
Enumeration Date
2019-01-23
Last Update Date
2019-01-23
Business Address
LISA MARIE MYRUSKI MA, CADC-II
1516 OAK ST STE 310
ALAMEDA, CA 94501-2958
Phone number: 510-255-2156
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Mailing Address
LISA MARIE MYRUSKI MA, CADC-II
2815 SANTA CLARA AVE
ALAMEDA, CA 94501-3013
Phone number: 646-226-2333
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