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1396074514
LISANNE JOHNSON MAZZOLA
THORNTON, CO
NPI
1396074514
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Former Name
LISANNE JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO LPC-4927)
Enumeration Date
2009-12-17
Last Update Date
2015-05-21
Business Address
-- LISANNE JOHNSON MAZZOLA LPC
8931 HURON ST
THORNTON, CO 80260-6806
Phone number: 303-845-0669
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Mailing Address
-- LISANNE JOHNSON MAZZOLA LPC
8931 HURON ST
THORNTON, CO 80260-6806
Phone number: 303-845-0669
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