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1578221735
LANA KAISSI
LOMA LINDA, CA
NPI
1578221735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SC 13770)
Enumeration Date
2021-12-06
Last Update Date
2021-12-06
Business Address
LANA KAISSI LMSW,MPA
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
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Mailing Address
LANA KAISSI LMSW,MPA
336 W FOOTHILL BLVD
UPLAND, CA 91786-3851
Phone number:
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