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1588965347
LISA MARIE CARRILLO
RIVERSIDE, CA
NPI
1588965347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 77468)
Enumeration Date
2010-11-10
Last Update Date
2016-11-30
Business Address
-- LISA MARIE CARRILLO LMFT
6820 INDIANA AVE STE 240
RIVERSIDE, CA 92506-4262
Phone number: 951-777-8176
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Mailing Address
-- LISA MARIE CARRILLO LMFT
6820 INDIANA AVE STE 240
RIVERSIDE, CA 92506-4262
Phone number: 951-777-8176
Copy
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