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1427800887
LISA CALLISON
GRASS VALLEY, CA
NPI
1427800887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1555170324)
Enumeration Date
2024-04-01
Last Update Date
2024-04-01
Business Address
Mrs. LISA CALLISON RADT
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-273-9541
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Mailing Address
Mrs. LISA CALLISON RADT
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-273-9541
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