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1407265929
LISA FANN
SEATTLE, WA
NPI
1407265929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH 60092174)
Enumeration Date
2014-08-08
Last Update Date
2014-08-08
Business Address
-- LISA FANN LMHC
109 N 101ST ST
SEATTLE, WA 98133-9109
Phone number: 206-784-5005
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Mailing Address
-- LISA FANN LMHC
444 NE RAVENNA BLVD STE 301
SEATTLE, WA 98115-6467
Phone number: 206-784-5005
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