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1588096192
LISA A DAVISSON
SELAH, WA
NPI
1588096192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CO60214519)
Enumeration Date
2013-08-06
Last Update Date
2016-03-28
Business Address
-- LISA A DAVISSON
1390 JESICA DR
SELAH, WA 98942-1728
Phone number: 509-697-9891
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Mailing Address
-- LISA A DAVISSON
1390 JESICA DR
SELAH, WA 98942-1728
Phone number: 509-697-9891
Copy
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