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1629205349
LISA RENEE BERMEO
SAN RAFAEL, CA
NPI
1629205349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 25074)
Enumeration Date
2009-06-20
Last Update Date
2009-06-20
Business Address
Ms. LISA RENEE BERMEO LCSW
99 MONTECILLO RD
SAN RAFAEL, CA 94903-3308
Phone number: 415-444-4251
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Mailing Address
Ms. LISA RENEE BERMEO LCSW
6 BAKER CT
PETALUMA, CA 94952-5520
Phone number: 707-228-5368
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