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1518414903
GINA LISIECKI
SILVERTON, OR
NPI
1518414903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C4232)
Enumeration Date
2016-09-02
Last Update Date
2024-06-24
Business Address
GINA LISIECKI LPC
393 PHELPS MOUNTAIN LN SE
SILVERTON, OR 97381-9668
Phone number: 971-273-8710
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Mailing Address
GINA LISIECKI LPC
PO BOX 1095
SILVERTON, OR 97381-0027
Phone number: 971-273-8710
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