STEPHANIE LISIUS

SANTA ROSA, CA
NPI1578796488
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  L0701091027)
Enumeration Date2009-08-25
Last Update Date2009-08-25
Business Address
-- STEPHANIE LISIUS
3315 AIRWAY DR
SANTA ROSA, CA 95403-2005
Phone number: 707-523-2242
Mailing Address
-- STEPHANIE LISIUS
3315 AIRWAY DR
SANTA ROSA, CA 95403-2005
Phone number: 707-523-2242
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