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1639535545
LISA WILSON
AUSTIN, TX
NPI
1639535545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: TX 38208)
Enumeration Date
2016-01-07
Last Update Date
2016-01-07
Business Address
LISA WILSON
12004 LANSDOWNE RD
AUSTIN, TX 78754-5873
Phone number: 512-554-7873
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Mailing Address
LISA WILSON
12004 LANSDOWNE RD
AUSTIN, TX 78754-5873
Phone number: 512-554-7873
Copy
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