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1629442579
LISA MARIE
SAN DIEGO, CA
NPI
1629442579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 90073)
Enumeration Date
2015-11-16
Last Update Date
2015-11-16
Business Address
-- LISA MARIE M.A.
5650 MOUNT ACKERLY DR
SAN DIEGO, CA 92111-4016
Phone number: 858-496-8205
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Mailing Address
-- LISA MARIE M.A.
2351 CARDINAL LN
SAN DIEGO, CA 92123-3743
Phone number: 858-496-8205
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