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1619511086
LISA J GILLEN
VANCOUVER, WA
NPI
1619511086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-10-29
Last Update Date
2019-10-29
Business Address
LISA J GILLEN Behavioral Therapist
7902 NE ST JOHNS RD STE 106
VANCOUVER, WA 98665-1094
Phone number: 800-273-4292
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Mailing Address
LISA J GILLEN Behavioral Therapist
11037 WARNER AVE # 339
FOUNTAIN VALLEY, CA 92708-4007
Phone number: 714-848-8319
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