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1639124100
VICTORIA DE LISSOVOY
LAKE WALES, FL
NPI
1639124100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW6807)
Enumeration Date
2006-05-23
Last Update Date
2008-06-04
Business Address
Ms. VICTORIA DE LISSOVOY LCSW
1109 BRYN MAWR AVE
LAKE WALES, FL 33853-4333
Phone number: 863-605-1865
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Mailing Address
Ms. VICTORIA DE LISSOVOY LCSW
6253 N LANTANA DR PO BOX 7037
INDIAN LAKE ESTATES, FL 33855-7037
Phone number: 863-605-1865
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