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1659159457
LISA B DETTELBACK
RENO, NV
NPI
1659159457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NV 4651)
Enumeration Date
2023-09-21
Last Update Date
2023-09-21
Business Address
LISA B DETTELBACK MFT
95 LA RUE AVE
RENO, NV 89509-2820
Phone number: 775-781-3760
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Mailing Address
LISA B DETTELBACK MFT
2307 MILLVILLE DR
SPARKS, NV 89441-7319
Phone number: 775-781-3760
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