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1588829071
STASHA LIESIK
FRESNO, CA
NPI
1588829071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-07-23
Last Update Date
2008-07-23
Business Address
-- STASHA LIESIK
611 E BELMONT AVE
FRESNO, CA 93701-1502
Phone number: 559-237-3420
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Mailing Address
-- STASHA LIESIK
387 E RICHMOND AVE
FRESNO, CA 93720-1729
Phone number:
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