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1639547474
LISA SULLBERG
SAN FRANCISCO, CA
NPI
1639547474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-09-10
Last Update Date
2015-09-10
Business Address
-- LISA SULLBERG
852 AVENUE D
SAN FRANCISCO, CA 94130-2002
Phone number: 415-217-8418
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Mailing Address
-- LISA SULLBERG
852 AVENUE D
SAN FRANCISCO, CA 94130-2002
Phone number:
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