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1679780241
LISA MCCULLOCH
SAN DIEGO, CA
NPI
1679780241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS16957)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
-- LISA MCCULLOCH
3020 CHILDRENS WAY
SAN DIEGO, CA 92123-4223
Phone number: 858-966-5980
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Mailing Address
-- LISA MCCULLOCH
14021 EASTERN ST
POWAY, CA 92064-3915
Phone number:
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