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1467675504
LISA ANN SHAFFER
RALEIGH, NC
NPI
1467675504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
104100000X Social Worker
(Licence: MI 6802072909)
Enumeration Date
2007-04-10
Last Update Date
2023-03-08
Business Address
Ms. LISA ANN SHAFFER LBSW
7309 BRYN ATHYN WAY APT 232
RALEIGH, NC 27615-6234
Phone number: 313-282-2395
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Mailing Address
Ms. LISA ANN SHAFFER LBSW
21946 CARLYSLE ST
DEARBORN, MI 48124-3634
Phone number: 313-730-0969
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