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1609302678
LISA BLACK
SANTA CRUZ, CA
NPI
1609302678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY29110)
Enumeration Date
2017-05-11
Last Update Date
2023-08-22
Business Address
Dr. LISA BLACK PsyD
740 FRONT ST STE 130
SANTA CRUZ, CA 95060-4536
Phone number: 318-295-8118
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Mailing Address
Dr. LISA BLACK PsyD
740 FRONT ST STE 130
SANTA CRUZ, CA 95060-4536
Phone number:
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