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1689959017
KIMBERLY MICHELLE LASACK
LEMON GROVE, CA
NPI
1689959017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-10-17
Last Update Date
2011-10-17
Business Address
-- KIMBERLY MICHELLE LASACK
3434 GROVE ST
LEMON GROVE, CA 91945-1812
Phone number: 619-281-3706
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Mailing Address
-- KIMBERLY MICHELLE LASACK
3434 GROVE ST
LEMON GROVE, CA 91945-1812
Phone number: 619-281-3706
Copy
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