LISA ROSEQUIST

SANTA ROSA, CA
NPI1407042914
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY 24622)
Enumeration Date2007-09-18
Last Update Date2011-10-26
Business Address
-- LISA ROSEQUIST
1260 N DUTTON AVE SUITE 225
SANTA ROSA, CA 95401-4659
Phone number: 619-917-8858
Mailing Address
-- LISA ROSEQUIST
1260 N DUTTON AVE SUITE 225
SANTA ROSA, CA 95401-4659
Phone number: 619-917-8858
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