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1548550452
LISA RENEE MERCURI
SANTA CRUZ, CA
NPI
1548550452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RI-M1011160935)
Enumeration Date
2011-04-12
Last Update Date
2011-04-12
Business Address
-- LISA RENEE MERCURI
1000A EMELINE AVE
SANTA CRUZ, CA 95060-1900
Phone number: 831-425-0112
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Mailing Address
-- LISA RENEE MERCURI
304 3RD ST
SANTA CRUZ, CA 95060-5533
Phone number: 831-425-0112
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